DR. JOHN DAVID COLLIER DDS NPI 1558385377

NPI Information

NPI: 1558385377
Provider Name: DR. JOHN DAVID COLLIER, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
3950 VETERANS DRIVE
SUITE 102
ST. CLOUD, MN
ZIP 56303
Phone: (320) 253-8380
Get Directions

DR. John David Collier, DDS is a pediatric dentistry dentist in St. Cloud, MN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. John David Collier, DDS NPI is 1558385377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3950 VETERANS DRIVE
SUITE 102
ST. CLOUD, MN
ZIP 56303
Phone: (320) 253-8380
Fax: (320) 253-8419

The enumeration date for this NPI number is 7/26/2006 and was last updated on 12/6/2023.

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	1223P0221X	Dentist	Pediatric Dentistry	11694	MINNESOTA	No
2	1223P0221X	Dentist	Pediatric Dentistry	D11694	MINNESOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	839677900	MEDICAID	MINNESOTA
2	D11694	OTHER	MINNESOTA	LICENSE
3	11694	OTHER	MINNESOTA	DENTAL LICENSE

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

NPI Synchronization or Removal

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