Minnesota Dental Professionals, P.c.

NPI #1154972909 in Ramsey, Minnesota

Provider Information

NPI Number: 1154972909
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 - General Practice
Enumeration Date: Sep 24, 2019
Last Updated: Sep 24, 2019

Practice Location

Address: 15243 NOWTHEN BLVD NW
City: Ramsey
State: Minnesota
ZIP Code: 55303-6138
Phone: (763) 421-2660

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

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

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