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Contact Information

MITCHELL L PAGE, DDS, MS
15785 95TH AVE N
MAPLE GROVE, MN55369-4404
 Phone: 763-233-4140
 Fax: 763-420-3158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MITCHELL L PAGE · (Male)

NPI # 1275649394
Status Active
Credentials DDS, MS
Entity Individual
Enumeration date 08/22/2006
Last updated 07/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10211
  • WI License # 3179
  • MN Other 48114PA BC/BS
  • MN Other 391719255 DELTA DENTAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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