Northland Dental Partners, Pllc
NPI #1790435428 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1790435428
- 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 25, 2022
- Last Updated
- May 2, 2022
Practice Location
- Address
- 5806 W 36TH ST STE A
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-5108
- Phone
- (952) 929-5292
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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