Willow Lake Dental

LBN: Tracy M. St. Dennis, D.D.S., Pllc
Willow Lake Dental is an health care organization with primary practice located at 3475 Willow Lake Blvd Suite 100, Vadnais Heights MN 55110-5156. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Tracy M. St. Dennis, D.D.S., Pllc can be contacted via phone (651) 341-2106, or through St Dennis, Mark via phone (651) 341-2106.

Contact Information

Primary practice address
3475 Willow Lake Blvd Suite 100 Vadnais Heights MN 55110-5156
Phone: (651) 341-2106
Fax:
Website:
Map and Directions
Authorized official contact:
Name: St Dennis, Mark
Phone: (651) 341-2106

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1508318247
LBN Legal business name Tracy M. St. Dennis, D.D.S., Pllc
DBA Doing business as Willow Lake Dental
Authorized official St Dennis, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2016
Last updated Oct 28th, 2016 - about 10 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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