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Contact Information

ADVANCED DENTISTRY INC.
5020 MINNETONKA BLVD
SAINT LOUIS PARK, MN55416-2255
 Phone: 952-285-1677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTISTRY INC.

NPI # 1760693972
LBN Legal business name ADVANCED DENTISTRY INC.
Authorized official RITA LYANSKY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 11287
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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