Spectrum Smiles Llc

LBN: Spectrum Smiles Llc
Spectrum Smiles Llc is an health care organization with primary practice located at 860 Blue Gentian Rd Ste 200 , Eagan MN 55121-1564. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Spectrum Smiles Llc can be contacted via phone (612) 245-0436, or through Isse, Najib via phone (612) 245-0436.

Contact Information

Primary practice address
860 Blue Gentian Rd Ste 200 Eagan MN 55121-1564
Phone: (612) 245-0436
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Isse, Najib
Phone: (612) 245-0436

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1790531184
LBN Legal business name Spectrum Smiles Llc
DBA Doing business as
Authorized official Isse, Najib
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2024
Last updated Apr 25th, 2024 - about 2 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.

Request for update

Popular Providers