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

PRIOR LAKE

Active Organization

Dental Clinic · PRIOR LAKE, MN

Registration Details

NPI Number
1083131643
Provider Type
Organization
NPI Issued
Aug 24, 2017 (8.6779344998571 yrs)
Last Updated
Jul 21, 2022
License
D13230 (MN)

Practice Information

Address
14120 COMMERCE AVE
SUITE #300
PRIOR LAKE, MN, 553725537
Browse MN providers · Browse ZIP 55372
Phone
9524471080
Fax
9524470376
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in PRIOR LAKE, MN

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.