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Contact Information

CHILDREN'S DENTAL SERVICES
229 W LAKE ST
CHISHOLM, MN55719
 Phone: 612-746-1530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for CHILDREN'S DENTAL SERVICES

NPI Number 1669842662
LBN Legal business name CHILDREN'S DENTAL SERVICES
Authorized official SARAH WOVCHA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2015
Last updated 08/20/2018 - About 8 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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