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Contact Information

THE DENTAL SPECIALIST OF MINNESOTA, PLLC
2550 UNIVERSITY AVE W STE 155S
SAINT PAUL, MN55114-1098
 Phone: 651-646-6386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

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

NPI # 1861914061
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2017
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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