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Contact Information

2010 DENTISTRY, PA
2010 W 66TH ST
RICHFIELD, MN55423-2127
 Phone: 612-866-5014
 Fax: 612-866-5082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 2010 DENTISTRY, PA

NPI # 1942608377
LBN Legal business name 2010 DENTISTRY, PA
Authorized official FRANK MORK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/17/2014
Last updated 12/17/2014 - About 11 years ago
Identifiers
MN License # D10511
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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