Organization · Type 2 NPI

Regents of the University of Minnesota

Dental Clinic/Center · Minneapolis, MN

NPI number 1104505015 Active

Practice location

515 Delaware St SE Fl 6
Minneapolis, MN 55455-0357

Call (612) 625-4777 Map

Mailing address

515 Delaware St SE, 7-521 Moos Tower
Minneapolis, MN 55455-0357

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

4 other providers at this address

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NPI record

NPI: 1104505015
Entity type: Organization (Type 2)
Issued: Jul 17, 2023
Last updated: Jul 17, 2023
Status: Active
Subpart: Yes of Regents of the University of Minnesota

Other names

University of Minnesota Special Healthcare Needs Clinic · doing business as

Authorized official

Angela M Erickson
Credentialing Coordinator
(612) 626-4232

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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 1104505015

Regents of the University of Minnesota's National Provider Identifier is 1104505015, issued on Jul 17, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 17, 2023.