Northland Dental Partners, Pllc

NPI #1265180699 in Lakeville, Minnesota

Provider Information

NPI Number
1265180699
Entity Type
Organization
Organization Name
Northland Dental Partners, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHLAND DENTAL PARTNERS, PLLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 15, 2022
Last Updated
Mar 15, 2022

Practice Location

Address
20143 IDEALIC AVE
ZIP Code
55044-6343
Phone
(952) 303-7012

Authorized Official

Name
CELIA HAYES
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-2100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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