Pdb, Dds, Pa

LBN: Pdb, Dds, Pa
Pdb, Dds, Pa is an health care organization with primary practice located at 12736 Bass Lake Rd , Maple Grove MN 55369-6307. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Pdb, Dds, Pa can be contacted via phone (763) 559-2082, or through Boettner, Paul via phone (763) 476-6774.

Contact Information

Primary practice address
12736 Bass Lake Rd Maple Grove MN 55369-6307
Phone: (763) 559-2082
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boettner, Paul Doctor of Dental Surgery (DDS)
Phone: (763) 476-6774

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1942809637
LBN Legal business name Pdb, Dds, Pa
DBA Doing business as
Authorized official Boettner, Paul Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2020
Last updated Oct 22nd, 2020 - about 6 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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