Minnesota Dental Professionals, P.c.
NPI #1427623966 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1427623966
- 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
- May 26, 2021
- Last Updated
- May 26, 2021
Practice Location
- Address
- 6939 PINE ARBOR DR S STE 104
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4643
- Phone
- (651) 459-3514
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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