Northstar Dental Clinic PA
NPI #1043265481 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1043265481
- Entity Type
- Organization
- Organization Name
- Northstar Dental Clinic PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 675 E NICOLLET BLVD
- Address 2
- SUITE 120
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-6741
- Phone
- (952) 892-7700
Authorized Official
- Name
- MICHAEL SHAWN NANNE, DDS
- Title
- OWNER PRESIDENT
- Phone
- (952) 892-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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