Northland Dental Partners, Pllc

NPI #1043960776 in Roseville, Minnesota

Provider Information

NPI Number: 1043960776
Entity Type: Organization
Organization Name: Northland Dental Partners, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHLAND DENTAL PARTNERS, PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 25, 2022
Last Updated: Mar 25, 2022

Practice Location

Address: 2690 SNELLING AVE N STE 200
City: Roseville
State: Minnesota
ZIP Code: 55113-1799
Phone: (651) 633-1834

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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