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Contact Information

PINE RIDGE DENTAL PA
26273 2ND ST E
SUITE A
ZIMMERMAN, MN55398
 Phone: 763-856-5100
 Fax: 763-856-0366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PINE RIDGE DENTAL PA

NPI # 1033206750
LBN Legal business name PINE RIDGE DENTAL PA
Authorized official JENNIFER ANDRESEN NARR - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 08/21/2014 - About 12 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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