Roger G. Ettel Dds And Associates, Pa

LBN: Minnesota Periodontal Associates, Pa
Roger G. Ettel Dds And Associates, Pa is an health care organization with primary practice located at 4801 Hwy 61 N. Suite 300, White Bear Lake MN 55110-2753. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Minnesota Periodontal Associates, Pa can be contacted via phone (651) 429-2299, or through Lee, Connie A via phone (651) 429-2299.

Contact Information

Primary practice address
4801 Hwy 61 N. Suite 300 White Bear Lake MN 55110-2753
Phone: (651) 429-2299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Connie A D.D.S., M.S.
Phone: (651) 429-2299

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D13190 Minnesota

Profile Details

NPI number 1508300252
LBN Legal business name Minnesota Periodontal Associates, Pa
DBA Doing business as Roger G. Ettel Dds And Associates, Pa
Authorized official Lee, Connie A D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2016
Last updated Dec 22nd, 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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