Metropolitan Pediatric Dental Associates, Ltd
NPI #1083763023 in North Oaks, Minnesota
Provider Information
- NPI Number
- 1083763023
- Entity Type
- Organization
- Organization Name
- Metropolitan Pediatric Dental Associates, Ltd
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 700 VILLAGE CENTER DR
- Address 2
- SUITE 110
- City
- North Oaks
- State
- Minnesota
- ZIP Code
- 55127-3019
- Phone
- (651) 484-8611
Authorized Official
- Name
- JAMES D NICKMAN, DDS
- Title
- PRESIDENT
- Phone
- (651) 224-4969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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