Northland Dental Partners, Pllc

NPI #1619619129 in Blaine, Minnesota

Provider Information

NPI Number
1619619129
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
Apr 13, 2022
Last Updated
Feb 1, 2024

Practice Location

Address
12371 ULYSSES ST NE
City
Blaine
ZIP Code
55434-3910
Phone
(763) 203-6100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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