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Contact Information

CHAMPLIN DENTISTRY, PC
11231 AQUILA DRIVE N
CHAMPLIN, MN55316
 Phone: 763-275-1318
 Fax: 763-400-9184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHAMPLIN DENTISTRY PC · (Female)

NPI Number 1194198309
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2015
Last updated 11/10/2015 - About 11 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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