Elk Plaza Dental
LBN: Elk Plaza Dental
Elk Plaza Dental is an health care organization with primary practice located at 501 Main St Nw #101, Elk River MN 55330-1880. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Elk Plaza Dental can be contacted via phone (763) 441-4200, or through Hickey, Thomas John via phone (763) 441-4200.
Contact Information
Primary practice address
501 Main St Nw #101
Elk River MN 55330-1880
Phone: (763) 441-4200
Fax:
Website:
Authorized official contact:
Name: Hickey, Thomas John Doctor of Dental Surgery (DDS)
Phone: (763) 441-4200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8940 | Minnesota |
Profile Details
| NPI number | 1760592406 |
|---|---|
| LBN Legal business name | Elk Plaza Dental |
| DBA Doing business as | |
| Authorized official | Hickey, Thomas John Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 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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