Organization · Type 2 NPI

Prairie Dental Group

General Practice Dentistry · Eden Prairie, MN

NPI number 1104057975 Active

Practice location

6608 Flying Cloud Dr
Eden Prairie, MN 55344-3381

Call (952) 903-5000 Map

Fax (952) 944-0642

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone 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.

5 other providers at this address

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About NPI 1104057975

Prairie Dental Group's National Provider Identifier is 1104057975, issued on Jul 28, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 28, 2009.