Wild Family Dentistry Pllc

LBN: Wild Family Dentistry Pllc
Wild Family Dentistry Pllc is an health care organization with primary practice located at 750 Main St Ste 215 , Mendota Heights MN 55118-3768. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Wild Family Dentistry Pllc can be contacted via phone (651) 452-0261, or through Wild, Laura Elizabeth via phone (612) 327-4582.

Contact Information

Primary practice address
750 Main St Ste 215 Mendota Heights MN 55118-3768
Phone: (651) 452-0261
Fax: (651) 452-6109
Website:
Map and Directions
Authorized official contact:
Name: Wild, Laura Elizabeth Doctor of Dental Surgery (DDS)
Phone: (612) 327-4582

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1598458655
LBN Legal business name Wild Family Dentistry Pllc
DBA Doing business as
Authorized official Wild, Laura Elizabeth Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2023
Last updated Jun 2nd, 2023 - about 3 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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