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Contact Information

MSCTC COMMUNITY DENTAL CLINIC
1900 28TH AVE S
MOORHEAD, MN56560-4830
 Phone: 218-299-6819
 Fax: 218-299-6532
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for MSCTC COMMUNITY DENTAL CLINIC

NPI Number 1548320112
LBN Legal business name MSCTC COMMUNITY DENTAL CLINIC
Authorized official THOMAS BOE - (DIRECTOR DENTAL DEPARTMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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