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DENTAL SPECIALISTS OF MINNESOTA PLLC NPI 1710317417


NPI Information

NPI: 1710317417
Provider Name: DENTAL SPECIALISTS OF MINNESOTA, PLLC

Doing Business As: THE DENTAL SPECIALISTS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
11240 STILLWATER BLVD N
LAKE ELMO, MN
ZIP 55042
Phone: (651) 777-0210
Get Directions

DENTAL SPECIALISTS OF MINNESOTA, PLLC is a periodontics dentist in Lake Elmo, MN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DENTAL SPECIALISTS OF MINNESOTA, PLLC NPI is 1710317417. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Dental Specialists.

The provider's business location address is:

11240 STILLWATER BLVD N
LAKE ELMO, MN
ZIP 55042-321
Phone: (651) 777-0210
Fax: (651) 777-0320

The provider's authorized official is Alan Law .
The authorized official title is President and has the following contact phone number (651) 633-0500.

The enumeration date for this NPI number is 11/15/2013 and was last updated on 10/28/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

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: 5/5/2024

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