Minnesota Dental Professionals, P.c.
NPI #1154926939 in Apple Valley, Minnesota
Provider Information
- NPI Number
- 1154926939
- 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
- Dec 1, 2020
- Last Updated
- Dec 1, 2020
Practice Location
- Address
- 14050 PILOT KNOB RD STE 108
- City
- Apple Valley
- State
- Minnesota
- ZIP Code
- 55124-6648
- Phone
- (952) 423-4414
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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