The Dental Specialist of Minnesota, Pllc
NPI #1265097653 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1265097653
- Entity Type
- Organization
- Organization Name
- The Dental Specialist of Minnesota, Pllc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 1, 2019
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 13961 60TH ST N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-1053
- Phone
- (651) 760-3681
Authorized Official
- Name
- SHANNON HESSE
- Title
- CREDENTIALING SPECIALIST
- Phone
- (651) 746-2815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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