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

NORTHDALE DENTIST PA

Active Organization

NORTHDALE DENTIST PA is a General Dentistry organization located in COON RAPIDS, Minnesota. NPI 1619287562 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · COON RAPIDS, MN

Registration Details

NPI Number
1619287562
Provider Type
Organization
NPI Issued
Oct 13, 2010 (15.840197315342 yrs)
Last Updated
Oct 13, 2010
License
D12003 (MN)

Practice Information

Address
2147, NORTHDALE BLVD NW.
COON RAPIDS, MN, 55433
Browse MN providers · Browse ZIP 55433
Phone
7634976977
Fax
7634637807
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in COON RAPIDS, 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.