<Unavail>

LBN: Modern Dental Professionals Minnesota Pc
<Unavail> is an health care organization with primary practice located at 4520 Centerville Rd , Saint Paul MN 55127-3602. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Modern Dental Professionals Minnesota Pc can be contacted via phone (651) 426-4799, or through Hendricks, Chad via phone (612) 351-6876.

Contact Information

Primary practice address
4520 Centerville Rd Saint Paul MN 55127-3602
Phone: (651) 426-4799
Fax: (651) 426-8106
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Chad
Phone: (612) 351-6876

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Minnesota

Profile Details

NPI number 1295238178
LBN Legal business name Modern Dental Professionals Minnesota Pc
DBA Doing business as <Unavail>
Authorized official Hendricks, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2018
Last updated Mar 16th, 2018 - about 8 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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