Page, Mitchell Lee

Page, Mitchell Lee is an individual health care provider with primary practice located at 15785 95Th Ave N , Maple Grove MN 55369-4404. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Page, Mitchell Lee can be contacted via phone (763) 233-4140.

Contact Information

Primary practice address
15785 95Th Ave N Maple Grove MN 55369-4404
Phone: (763) 233-4140
Fax: (763) 420-3158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 3179 Wisconsin
Dental Providers / Endodontics 1223E0200X 10211 Minnesota

Profile Details

NPI number 1275649394
LBN Legal business name Page, Mitchell Lee
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 30th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275649394 NPPES
Minnesota Other 391719255 DELTA DENTAL
Minnesota Other 48114PA DELTA DENTAL

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