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Contact Information

A GENTLE DENTAL CENTER OF ROGERS
14115 JAMES RD
SUITE 303
ROGERS, MN55374-9468
 Phone: 763-428-2226
 Fax: 763-428-3407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A GENTLE DENTAL CENTER OF ROGERS

NPI Number 1124198635
LBN Legal business name A GENTLE DENTAL CENTER OF ROGERS
Authorized official JILL KOOPMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # D11666
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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