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Contact Information

DENTAL SPECIALISTS OF MINNESOTA, PLLC
8650 HUDSON BLVD N
SUITE 105
LAKE ELMO, MN55042-9747
 Phone: 651-714-9477
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for DENTAL SPECIALISTS OF MINNESOTA, PLLC

NPI Number 1346316189
LBN Legal business name DENTAL SPECIALISTS OF MINNESOTA, PLLC
Authorized official ALAN LAW - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2006
Last updated 01/28/2020 - 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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