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Contact Information

ADT DENTAL, LTD.
2232 HENNEPIN AVE
MINNEAPOLIS, MN55405-2737
 Phone: 612-377-6108
 Fax: 612-374-1820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADT DENTAL, LTD.

NPI Number 1548282585
LBN Legal business name ADT DENTAL, LTD.
Authorized official SUSAN ZECCO - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN Other 46092 DE BLUE CROSS BLUE SHIELD
MN Other 013454 DORAL DENTAL
MN Other 1727 HEALTH PARTNERS
MN Other 978483 UNITED CONCORDIA
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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