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Contact Information

MODERN DENTAL PROFESSIONALS, MN PC
107 DUPONT AVE NW
RENVILLE, MN56284
 Phone: 715-926-5050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MODERN DENTAL PROFESSIONALS, MN PC

NPI # 1679853451
LBN Legal business name MODERN DENTAL PROFESSIONALS, MN PC
Authorized official JAMES MYER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2011
Last updated 08/24/2011 - About 15 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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