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Contact Information

DENTALIGN P.A.
7860 MAIN ST
MAPLE GROVE, MN55369
 Phone: 763-420-1030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for DENTALIGN P.A.

NPI Number 1003174764
LBN Legal business name DENTALIGN P.A.
Authorized official CHAD KELLY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2012
Last updated 05/01/2012 - About 14 years ago
Identifiers
MN License # D11493
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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