DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

12TH STREET DENTAL OFFICE PA

Active Organization

12TH STREET DENTAL OFFICE PA is a Dentist organization located in ROCHESTER, Minnesota. NPI 1043374176 is currently active in the NPPES registry. Verify at CMS.

Dentist · ROCHESTER, MN

Registration Details

NPI Number
1043374176
Provider Type
Organization
NPI Issued
Dec 21, 2006 (19.607540235098 yrs)
Last Updated
Aug 22, 2020
License
MN9567 (MN)

Practice Information

Address
1008 12TH STREET SE
ROCHESTER, MN, 559045030
Browse MN providers · Browse ZIP 55904
Phone
5072826448
Fax
5072878846
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.