Metropolitan Pediatric Dental Associates, Ltd

NPI #1912056961 in Eagan, Minnesota

Provider Information

NPI Number
1912056961
Entity Type
Organization
Organization Name
Metropolitan Pediatric Dental Associates, Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jan 9, 2007
Last Updated
Jul 2, 2019

Practice Location

Address
1519 CENTRAL PKWY STE 250
City
Eagan
ZIP Code
55121-2488
Phone
(651) 454-0334

Authorized Official

Name
JAMES D NICKMAN, DDS
Title
PRESIDENT
Phone
(651) 224-4969

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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