Saint Anthony Village Dentistry
LBN: Saint Anthony Village Dentistry
Saint Anthony Village Dentistry is an health care organization with primary practice located at 2525 33Rd Ave Ne , St Anthony MN 55418-1539. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Saint Anthony Village Dentistry can be contacted via phone (612) 781-9270, or through Larson, Cory John via phone (612) 789-2853.
Contact Information
Primary practice address
2525 33Rd Ave Ne
St Anthony MN 55418-1539
Phone: (612) 781-9270
Fax: (612) 767-3490
Website:
Authorized official contact:
Name: Larson, Cory John Doctor of Dental Surgery (DDS)
Phone: (612) 789-2853
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1528535788 |
|---|---|
| LBN Legal business name | Saint Anthony Village Dentistry |
| DBA Doing business as | |
| Authorized official | Larson, Cory John Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2018 |
| Last updated | Oct 25th, 2018 - about 8 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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