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

BIRCH LAKE DENTAL PA

Active Organization

BIRCH LAKE DENTAL PA is a General Dentistry organization located in WHITE BEAR LAKE, Minnesota. NPI 1083853113 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1083853113
Provider Type
Organization
NPI Issued
Feb 12, 2009 (17.515984188642 yrs)
Last Updated
Feb 12, 2009
Licenses
7712MN (MN)
D10949MN (MN)

Practice Information

Address
2641 WHITE BEAR PARKWAY
WHITE BEAR LAKE, MN, 55110
Browse MN providers · Browse ZIP 55110
Phone
6514290404
Fax
6514290472
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in WHITE BEAR 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.