Wooddale Dental Center, Llc

LBN: Wooddale Dental Center, Llc
Wooddale Dental Center, Llc is an health care organization with primary practice located at 3401 Wooddale Ave S Ste 1 , St Louis Park MN 55416-2341. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Wooddale Dental Center, Llc can be contacted via phone (952) 929-3336, or through Simic, Jelena R via phone (952) 929-3336.

Contact Information

Primary practice address
3401 Wooddale Ave S Ste 1 St Louis Park MN 55416-2341
Phone: (952) 929-3336
Fax: (952) 929-3338
Website:
Map and Directions
Authorized official contact:
Name: Simic, Jelena R Doctor of Dental Surgery (DDS)
Phone: (952) 929-3336

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D12163 Minnesota

Profile Details

NPI number 1881972560
LBN Legal business name Wooddale Dental Center, Llc
DBA Doing business as
Authorized official Simic, Jelena R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2011
Last updated Jul 28th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881972560 NPPES
Minnesota Other 1437219813 NPI TYPE 1

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