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CHASKA COMMONS DENTAL GROUP PC NPI 1912319286


NPI Information

NPI: 1912319286
Provider Name: CHASKA COMMONS DENTAL GROUP PC

Doing Business As: CHASKA COMMONS DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
114 PIONEER TRAIL
CHASKA, MN
ZIP 55318
Phone: (952) 361-6855
Get Directions

CHASKA COMMONS DENTAL GROUP PC is a general practice dentist in Chaska, 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. CHASKA COMMONS DENTAL GROUP PC NPI is 1912319286. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chaska Commons Dental Group.

The provider's business location address is:

114 PIONEER TRAIL
CHASKA, MN
ZIP 55318
Phone: (952) 361-6855
Fax: (952) 361-6833

The provider's authorized official is Parvathi Jithendranathan .
The authorized official title is Owner and has the following contact phone number (952) 361-6855.

The enumeration date for this NPI number is 5/21/2014 and was last updated on 5/11/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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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