Organization · Type 2 NPI

Sedation & Implant Dentistry

Periodontics · St. Paul, MN

NPI number 1073787669 Active

Practice location

1815 Suburban Ave
St. Paul, MN 55119-4302

Fax (651) 735-1910

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD7091 (MN)
General Practice Dentistry 1223G0001XD9766 (MN)
Periodontics Primary 1223P0300XD9208 (MN)
Periodontics 1223P0300XD12228 (MN)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

7 other providers at this address

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About NPI 1073787669

Sedation & Implant Dentistry's National Provider Identifier is 1073787669, issued on Apr 15, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Paul, MN. The record was last updated on Apr 15, 2008.