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Contact Information

THE DENTAL SPECIALIST OF MINNESOTA, PLLC
324 W SUPERIOR ST STE 824
DULUTH, MN55802-1718
 Phone: 218-727-7557
 Fax: 218-727-1182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for THE DENTAL SPECIALIST OF MINNESOTA, PLLC

NPI Number 1215588660
LBN Legal business name THE DENTAL SPECIALIST OF MINNESOTA, PLLC
Authorized official SHANNON HESSE - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2019
Last updated 10/28/2020 - 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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