36Th Street Dental

LBN: Miracle Mile Dentistry Pa
36Th Street Dental is an health care organization with primary practice located at 5806A W 36Th St , St Louis Park MN 55416-5108. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Miracle Mile Dentistry Pa can be contacted via phone (952) 929-5292, or through Dunlavey, Ryan Michael via phone (612) 799-7525.

Contact Information

Primary practice address
5806A W 36Th St St Louis Park MN 55416-5108
Phone: (952) 929-5292
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dunlavey, Ryan Michael Doctor of Dental Surgery (DDS)
Phone: (612) 799-7525

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Minnesota

Profile Details

NPI number 1417340563
LBN Legal business name Miracle Mile Dentistry Pa
DBA Doing business as 36Th Street Dental
Authorized official Dunlavey, Ryan Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2015
Last updated Mar 13th, 2015 - about 11 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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