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Contact Information

AFFORDABLE DENTURES & IMPLANTS - WEST ST. PAUL IV, P.C.
2055 ROBERT ST S
WEST SAINT PAUL, MN55118-3924
 Phone: 651-552-6770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFORDABLE DENTURES & IMPLANTS - WEST ST. PAUL IV, P.C.

NPI Number 1689406449
LBN Legal business name AFFORDABLE DENTURES & IMPLANTS - WEST ST. PAUL IV, P.C.
Authorized official BRADLEY SIM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2024
Last updated 08/19/2024 - More than a year 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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