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Contact Information

DENTAL SPECIALISTS OF MINNESOTA, PLLC
9325 UPLAND LN N
SUITE 330
MAPLE GROVE, MN55369-4200
 Phone: 763-416-0037
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for DENTAL SPECIALISTS OF MINNESOTA, PLLC

NPI # 1912143843
LBN Legal business name DENTAL SPECIALISTS OF MINNESOTA, PLLC
Authorized official ALAN LAW - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2008
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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