Downtown Dental Care Pa

LBN: Downtown Dental Care Pa
Downtown Dental Care Pa is an health care organization with primary practice located at 304 Elm Ave , Moose Lake MN 55767. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Downtown Dental Care Pa can be contacted via phone (218) 485-4455, or through Stodola, Kurt David via phone (218) 485-4455.

Contact Information

Primary practice address
304 Elm Ave Moose Lake MN 55767
Phone: (218) 485-4455
Fax: (218) 485-0227
Website:
Map and Directions
Authorized official contact:
Name: Stodola, Kurt David Doctor of Dental Surgery (DDS)
Phone: (218) 485-4455

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1073674529
LBN Legal business name Downtown Dental Care Pa
DBA Doing business as
Authorized official Stodola, Kurt David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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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