Minnesota Dental Professionals, P.c.

NPI #1043715204 in Lakeville, Minnesota

Provider Information

NPI Number: 1043715204
Entity Type: Organization
Organization Name: Minnesota Dental Professionals, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: MINNESOTA DENTAL PROFESSIONALS, P.C.
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 16138 PILOT KNOB RD
City: Lakeville
State: Minnesota
ZIP Code: 55044
Phone: (952) 679-7779

Authorized Official

Name: JESSICA BRITT
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

Additional Practice Locations

16138 Pilot Knob Rd

Lakeville, MN, 55044-4105

(612) 354-8875

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