Alyssa A Hedstrom, D.D.S.

LBN: Alyssa A Hedstrom, D.D.S.
Alyssa A Hedstrom, D.D.S. is an health care organization with primary practice located at 303 E. 3Rd St. , Grand Marais MN 55604-0670. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Alyssa A Hedstrom, D.D.S. can be contacted via phone (218) 387-2774, or through Hedstrom, Alyssa A via phone (218) 387-2774.

Contact Information

Primary practice address
303 E. 3Rd St. Grand Marais MN 55604-0670
Phone: (218) 387-2774
Fax: (218) 387-1393
Website:
Map and Directions
Authorized official contact:
Name: Hedstrom, Alyssa A Doctor of Dental Surgery (DDS)
Phone: (218) 387-2774

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11942 Minnesota

Profile Details

NPI number 1326242678
LBN Legal business name Alyssa A Hedstrom, D.D.S.
DBA Doing business as
Authorized official Hedstrom, Alyssa A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated May 1st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326242678 NPPES
Minnesota MEDICAID 580060000

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