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Contact Information

MODERN CARE ENDODONTICS OF APPLE VALLEY
15160 FOLIAGE AVE STE 100
APPLE VALLEY, MN55124-5916
 Phone: 952-920-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MODERN CARE ENDODONTICS OF APPLE VALLEY

NPI Number 1780236539
LBN Legal business name MODERN CARE ENDODONTICS OF APPLE VALLEY
Authorized official JAY SIMONTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2019
Last updated 07/11/2019 - About 7 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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