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Contact Information

DOWNTOWN DENTAL CARE PA
304 ELM AVE
MOOSE LAKE, MN55767
 Phone: 218-485-4455
 Fax: 218-485-0227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DOWNTOWN DENTAL CARE PA

NPI # 1073674529
LBN Legal business name DOWNTOWN DENTAL CARE PA
Authorized official KURT STODOLA - (DOCTOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 08/22/2020 - 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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