STATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET NPI 1447956875

NPI Information

  • NPI: 1447956875
  • Provider Name: STATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: MINNESOTA VETERANS HOMES DENTAL CLINIC
  • Address: 1821 N. PARK STREET
    FERGUS FALLS, MN
    ZIP 56537
  • Phone: (218) 736-0400

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NPI Details

STATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET is a general practice dentist in Fergus Falls, 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. STATE OF MINNESOTA MINNESOTA MANAGEMENT AND BUDGET NPI is 1447956875. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Minnesota Veterans Homes Dental Clinic.

The provider's business location address is:

1821 N. PARK STREET
FERGUS FALLS, MN
ZIP 56537-247
Phone: (218) 736-0400
Fax: (612) 548-5964

The provider's authorized official is Simone Renee Hogan .
The authorized official title is Mdva Chief Operations Director and has the following contact phone number (612) 505-4110.

The enumeration date for this NPI number is 2/7/2023 and was last updated on 12/3/2024.

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
11223G0001XDentistGeneral PracticeYes

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: 3/30/2025

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