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Contact Information

SOUTHERN MINNESOTA COMMUNITY DENTAL CLINIC
1501 NORTH STATE STREET
WASECA, MN56093
 Phone: 507-835-3040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SOUTHERN MINNESOTA COMMUNITY DENTAL CLINIC

NPI Number 1285223339
LBN Legal business name SOUTHERN MINNESOTA COMMUNITY DENTAL CLINIC
Authorized official TODD FISCHER - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2021
Last updated 01/13/2021 - About 5 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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