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
Fax: (763) 544-8056
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295923423 NPPES
Minnesota MEDICAID 151252800

Popular Providers