Northland Dental Partners, Pllc

NPI #1619625043 in Eagan, Minnesota

Provider Information

NPI Number: 1619625043
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: 1965 CLIFF LAKE RD STE 102
City: Eagan
State: Minnesota
ZIP Code: 55122-2591
Phone: (651) 452-4828

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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