Prairie Dental Group

LBN: Prairie Dental Group
Prairie Dental Group is an health care organization with primary practice located at 6608 Flying Cloud Dr , Eden Prairie MN 55344-3381. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Prairie Dental Group can be contacted via phone (952) 903-5000, or through Leach, Caryl via phone (952) 903-5000.

Contact Information

Primary practice address
6608 Flying Cloud Dr Eden Prairie MN 55344-3381
Phone: (952) 903-5000
Fax: (952) 944-0642
Website:
Map and Directions
Authorized official contact:
Name: Leach, Caryl
Phone: (952) 903-5000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1104057975
LBN Legal business name Prairie Dental Group
DBA Doing business as
Authorized official Leach, Caryl
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2009
Last updated Jul 28th, 2009 - about 17 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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