Organization · Type 2 NPI

Northland Dental Partners, PLLC

General Practice Dentistry · St. Paul, MN

NPI number 1073261418 Active

Practice location

1866 Beam Ave
St. Paul, MN 55109-1162

Fax (651) 770-0560

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1073261418
Entity type: Organization (Type 2)
Issued: Mar 15, 2022
Last updated: Mar 15, 2022
Status: Active
Subpart: Yes of Northland Dental Partners, PLLC

Other names

Metro Dentalcare Maplewood · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073261418

Northland Dental Partners, PLLC's National Provider Identifier is 1073261418, issued on Mar 15, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Paul, MN. The record was last updated on Mar 15, 2022.