Avera Medical Group Dental Care

LBN: Avera Marshall
Avera Medical Group Dental Care is an health care organization with primary practice located at 197 N Tyler St , Tyler MN 56178-1160. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Avera Marshall can be contacted via phone (507) 247-5591, or through Streier, Debbie via phone (507) 537-9160.

Contact Information

Primary practice address
197 N Tyler St Tyler MN 56178-1160
Phone: (507) 247-5591
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Streier, Debbie
Phone: (507) 537-9160

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Minnesota

Profile Details

NPI number 1962859058
LBN Legal business name Avera Marshall
DBA Doing business as Avera Medical Group Dental Care
Authorized official Streier, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2016
Last updated Dec 2nd, 2022 - about 4 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 1962859058 NPPES
Other NOT ASSIGNED YET NOT ASSIGNED YET

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