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

MAPLE GROVE FAMILY DENTAL CLINIC, PA

Active Organization

MAPLE GROVE FAMILY DENTAL CLINIC, PA is a General Dentistry organization located in MAPLE GROVE, Minnesota. NPI 1922181197 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MAPLE GROVE, MN

Registration Details

NPI Number
1922181197
Provider Type
Organization
NPI Issued
Oct 23, 2006 (19.82295623521 yrs)
Last Updated
Aug 22, 2020
Licenses
9790 (MN)
10067 (MN)
D11341 (MN)

Practice Information

Address
12000 ELM CREEK BLVD N
SUITE #220
MAPLE GROVE, MN, 553697073
Browse MN providers · Browse ZIP 55369
Phone
7634204421
Fax
7634205674
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry

Other General Dentistry Organizations in MAPLE GROVE, 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.