National Provider Identifier Database

MSP DENTISTRY INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MSP DENTISTRY INC
13650 HANSON BLVD.
SUITE #110
ANDOVER, MN55304
Phone: 763-421-7900
Fax: 763-421-7916
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MSP DENTISTRY INC

NPI Number 1124544895
Legal business name
LBN
MSP DENTISTRY INC
Authorized official MAJID FEHRESTI - (OWNER/DDS)
Entity Organization
Organization subpart Yes
Enumeration date 08/15/2017
Last updated 08/15/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: D12034

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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