North St. Paul Dental

LBN: North St. Paul Dental
North St. Paul Dental is an health care organization with primary practice located at 2082 11Th Ave E , North St Paul MN 55109-5112. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. North St. Paul Dental can be contacted via phone (651) 770-6260, or through Bray, Timothy A via phone (651) 770-6260.

Contact Information

Primary practice address
2082 11Th Ave E North St Paul MN 55109-5112
Phone: (651) 770-6260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bray, Timothy A Doctor of Dental Surgery (DDS)
Phone: (651) 770-6260

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8217 Minnesota

Profile Details

NPI number 1497991798
LBN Legal business name North St. Paul Dental
DBA Doing business as
Authorized official Bray, Timothy A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 17th, 2008
Last updated Dec 17th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497991798 NPPES
Minnesota MEDICAID 982017500

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