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CENTRAL MINNESOTA PEDIATRIC DENTISTS PA NPI 1891136321


NPI Information

NPI: 1891136321
Provider Name: CENTRAL MINNESOTA PEDIATRIC DENTISTS PA
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1100 19TH AVE SW
WILLMAR, MN
ZIP 56201
Phone: (320) 253-0272
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CENTRAL MINNESOTA PEDIATRIC DENTISTS PA is a pediatric dentistry dentist in Willmar, 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. CENTRAL MINNESOTA PEDIATRIC DENTISTS PA NPI is 1891136321. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1100 19TH AVE SW
WILLMAR, MN
ZIP 56201-288
Phone: (320) 253-0272
Fax: (320) 251-2661

The provider's authorized official is Michael W Steil .
The authorized official title is Partner/owner and has the following contact phone number (320) 253-0272.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 7/12/2013.


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
11223P0221XDentistPediatric DentistryD7765MINNESOTANo
21223P0221XDentistPediatric DentistryD11344MINNESOTANo
31223P0221XDentistPediatric DentistryD11073MINNESOTAYes

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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