REGENTS OF THE UNIVERSITY OF MINNESOTA NPI 1457448615

NPI Information

REGENTS OF THE UNIVERSITY OF MINNESOTA is a dental clinic center in Minneapolis, MN. REGENTS OF THE UNIVERSITY OF MINNESOTA NPI is 1457448615. The provider is registered as an organization entity type.
The provider Is Doing Business As University Of Minnesota School Of Dentistry.

The provider's business location address is:

515 DELAWARE ST SE
7-530 MOOS TOWER
MINNEAPOLIS, MN
ZIP 55455-357
Phone: (612) 626-6529
Fax: (612) 625-4610

The provider's authorized official is Gary Carl Anderson .
The authorized official title is Dean, Uofmn School Of Dentistry and has the following contact phone number (612) 626-6529.

The CLIA number assigned to this NPI record is 24D2104941 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 12/21/2016.

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:

Other Identifiers

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

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