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DENTAL MANAGEMENT PARTNERS LLC NPI 1245973817


NPI Information

NPI: 1245973817
Provider Name: DENTAL MANAGEMENT PARTNERS LLC

Doing Business As: PRO DENTAL

Classification: Dentist - 1223X2210X
Entity Type: Organization

Specialization: Orofacial Pain

Address:
10210 BALTIMORE ST NE STE 100
BLAINE, MN
ZIP 55449
Phone: (763) 231-2050
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DENTAL MANAGEMENT PARTNERS LLC is an orofacial pain dentist in Blaine, MN. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. DENTAL MANAGEMENT PARTNERS LLC NPI is 1245973817. The provider is registered as an organization entity type.
The provider Is Doing Business As Pro Dental.

The provider's business location address is:

10210 BALTIMORE ST NE STE 100
BLAINE, MN
ZIP 55449-050
Phone: (763) 231-2050
Fax: (763) 231-2052

The provider's authorized official is Arif Nazir .
The authorized official title is Owner and has the following contact phone number (763) 231-2050.

The enumeration date for this NPI number is 4/20/2022 and was last updated on 6/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalNo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
31223X2210XDentistOrofacial PainYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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