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PENN AVENUE FAMILY DENTAL NPI 1376648402


NPI Information

NPI: 1376648402
Provider Name: PENN AVENUE FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5346 PENN AVE S
MINNEAPOLIS, MN
ZIP 55419
Phone: (612) 922-0894
Get Directions

PENN AVENUE FAMILY DENTAL is a general practice dentist in Minneapolis, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PENN AVENUE FAMILY DENTAL NPI is 1376648402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5346 PENN AVE S
MINNEAPOLIS, MN
ZIP 55419-065
Phone: (612) 922-0894
Fax: (612) 922-1352

The provider's authorized official is Robert G Mcnab .
The authorized official title is Owner and has the following contact phone number (612) 922-0894.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice9220MINNESOTAYes

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: 4/28/2024

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