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Contact Information

DENTAL SPECIALISTS OF MINNESOTA, PLLC
1835 COUNTY ROAD C-WEST
SUITE 200
ROSEVILLE, MN55113-1343
 Phone: 651-796-0193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for DENTAL SPECIALISTS OF MINNESOTA PLLC · (Female)

NPI # 1780750539
Status Active
Credentials
Entity Individual
Enumeration date 11/24/2006
Last updated 10/28/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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