Long Lake Family Denistry

LBN: Long Lake Family Denistry
Long Lake Family Denistry is an health care organization with primary practice located at 991 9Th Ave Nw , New Brighton MN 55112-2665. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Long Lake Family Denistry can be contacted via phone (651) 633-1311, or through Jalali, Hossein A via phone (651) 633-1311.

Contact Information

Primary practice address
991 9Th Ave Nw New Brighton MN 55112-2665
Phone: (651) 633-1311
Fax: (651) 633-4339
Website:
Map and Directions
Authorized official contact:
Name: Jalali, Hossein A Doctor of Dental Surgery (DDS)
Phone: (651) 633-1311

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10256 Minnesota
Dental Providers / General Practice 1223G0001X D13480 Minnesota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10465 Minnesota

Profile Details

NPI number 1134574163
LBN Legal business name Long Lake Family Denistry
DBA Doing business as
Authorized official Jalali, Hossein A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2016
Last updated Apr 27th, 2016 - about 10 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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