Cataldo, Brent Alan
Cataldo, Brent Alan is an sole proprietor health care provider with primary practice located at 10100 6Th Ave N Ste 102 B, Plymouth MN 55441-6535. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Cataldo, Brent Alan can be contacted via phone (763) 544-7856.Contact Information
Primary practice address
10100 6Th Ave N Ste 102 B
Plymouth MN 55441-6535
Phone: (763) 544-7856
Fax: (763) 544-8056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D11411 | Minnesota |
Profile Details
| NPI number | 1295923423 |
|---|---|
| LBN Legal business name | Cataldo, Brent Alan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2007 |
| Last updated | Dec 20th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295923423 | NPPES |
| Minnesota | MEDICAID | 151252800 |
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