Organization · Type 2 NPI
St. Croix Valley Dental, PLLC
Point of Service · Hudson, WI
NPI number
1265618862
Active
Practice location
1003 Pearson Dr.
Hudson, WI 54016
Fax (715) 377-9933
Mailing address
13961 60th St North
Stillwater, MN 55082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1265618862
St. Croix Valley Dental, PLLC's National Provider Identifier is 1265618862, issued on Jan 14, 2008. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Hudson, WI. The record was last updated on Jul 21, 2022.