Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
4TH AVENUE DENTAL, PA, DBA OAK PARK DENTAL
Active Organization4TH AVENUE DENTAL, PA, DBA OAK PARK DENTAL is a General Dentistry organization located in PINE CITY, Minnesota. NPI 1609298355 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PINE CITY, MN
Registration Details
- NPI Number
- 1609298355
- Provider Type
- Organization
- NPI Issued
- Jan 15, 2014 (12.399825898831 yrs)
- Last Updated
- Jan 15, 2014
- License
-
D11935 (MN)
Practice Information
- Address
-
505 JOHNSON AVE SEPINE CITY, MN, 550632108Browse MN providers · Browse ZIP 55063
- Phone
- 3206292282
- Fax
- 3206293357
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Organizations in PINE CITY, MN
| Name | NPI |
|---|---|
| OAK PARK DENTAL CLINIC | 1508036070 |
| OAK PARK DENTAL - PINE CITY LLC | 1225762255 |
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.