Minnesota Dental Professionals, P.c.

NPI #1114781739 in Lino Lakes, Minnesota

Provider Information

NPI Number
1114781739
Entity Type
Organization
Organization Name
Minnesota Dental Professionals, P.c.
Subpart
Yes (part of a larger organization)
Parent Organization
HEARTLAND DENTAL
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 13, 2024
Last Updated
Jul 24, 2024

Practice Location

Address
601 APOLLO DR STE 110
ZIP Code
55014-3020
Phone
(763) 542-3765

Authorized Official

Name
HILLARY THULL
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8946

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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