VIRGINIA FAMILY DENTAL P.A. NPI 1336568781

NPI Information

NPI: 1336568781
Provider Name: VIRGINIA FAMILY DENTAL P.A.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 24D2227637

Address:
802 4TH ST N
VIRGINIA, MN
ZIP 55792
Phone: (218) 741-0405
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VIRGINIA FAMILY DENTAL P.A. is a dental clinic center in Virginia, MN. VIRGINIA FAMILY DENTAL P.A. NPI is 1336568781. The provider is registered as an organization entity type.

The provider's business location address is:

802 4TH ST N
VIRGINIA, MN
ZIP 55792-451
Phone: (218) 741-0405
Fax: (218) 741-1445

The provider's authorized official is Michael Bryan Miskovich .
The authorized official title is Dentist and has the following contact phone number (218) 741-0405.

The CLIA number assigned to this NPI record is 24D2227637 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 4/14/2014.

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
1	261QD0000X	Clinic/Center	Dental	D12649	MINNESOTA	Yes

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

NPI Synchronization or Removal

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