Rice Lake Dental, P.A.

LBN: Rice Lake Dental, P.A.
Rice Lake Dental, P.A. is an health care organization with primary practice located at 13998 Maple Knoll Way Ste 100 , Maple Grove MN 55369-7004. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Rice Lake Dental, P.A. can be contacted via phone (763) 420-5599, or through Johnsrud, Darrel Howard via phone (612) 385-6718.

Contact Information

Primary practice address
13998 Maple Knoll Way Ste 100 Maple Grove MN 55369-7004
Phone: (763) 420-5599
Fax: (763) 416-4771
Website:
Map and Directions
Authorized official contact:
Name: Johnsrud, Darrel Howard Doctor of Dental Surgery (DDS)
Phone: (612) 385-6718

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1760107502
LBN Legal business name Rice Lake Dental, P.A.
DBA Doing business as
Authorized official Johnsrud, Darrel Howard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 4 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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