Northland Dental Partners, Pllc

NPI #1578211991 in Cottage Grove, Minnesota

Provider Information

NPI Number
1578211991
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
7430 80TH ST S STE 201
ZIP Code
55016-3041
Phone
(651) 459-2232

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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