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FAMILY AND COSMETIC GENTLE DENTISTRY NPI 1760837041


NPI Information

NPI: 1760837041
Provider Name: FAMILY AND COSMETIC GENTLE DENTISTRY

Doing Business As: FAMILY AND COSMETIC GENTLE DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5107 GUS YOUNG LN
EDINA, MN
ZIP 55436
Phone: (952) 929-0641
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FAMILY AND COSMETIC GENTLE DENTISTRY is a general practice dentist in Edina, 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. FAMILY AND COSMETIC GENTLE DENTISTRY NPI is 1760837041. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family And Cosmetic Gentle Dentistry.

The provider's business location address is:

5107 GUS YOUNG LN
EDINA, MN
ZIP 55436-530
Phone: (952) 929-0641
Fax: (952) 929-1802

The provider's authorized official is Robert Luther Bodin .
The authorized official title is Owner and has the following contact phone number (952) 224-9774.

The enumeration date for this NPI number is 4/25/2016 and was last updated on 7/21/2022.


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
11223G0001XDentistGeneral PracticeMINNESOTAYes

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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