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Contact Information

AL M VIRGEN DMD PA
7501 80TH ST S
SUITE 2
COTTAGE GROVE, MN55016-3020
 Phone: 651-459-7888
 Fax: 651-459-7614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AL M VIRGEN DMD PA

NPI Number 1801068358
LBN Legal business name AL M VIRGEN DMD PA
Authorized official AL VIRGEN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/25/2008
Last updated 10/04/2013 - About 13 years ago
Identifiers
MN License # D12872
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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