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CHILDRENS DENTAL SERVICES INC NPI 1407973605


NPI Information

NPI: 1407973605
Provider Name: CHILDRENS DENTAL SERVICES INC
Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
636 BROADWAY ST. NE
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 746-1530
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CHILDRENS DENTAL SERVICES INC is a dental public health dentist in Minneapolis, MN. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. CHILDRENS DENTAL SERVICES INC NPI is 1407973605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

636 BROADWAY ST. NE
MINNEAPOLIS, MN
ZIP 55413
Phone: (612) 746-1530
Fax: (612) 746-1531

The provider's authorized official is Sarah Wovcha .
The authorized official title is Executive Director and has the following contact phone number (612) 636-1577.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 12/3/2013.


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
11223D0001XDentistDental Public HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1321818000MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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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