Organization · Type 2 NPI

Mahtomedi Dental P.c.

Dentist · Lake Elmo, MN

NPI number 1275969263 Active

Practice location

12425 55th St N
Lake Elmo, MN 55042-7403

Fax (651) 439-2201

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X11396 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1275969263

Mahtomedi Dental P.c.'s National Provider Identifier is 1275969263, issued on Sep 23, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lake Elmo, MN. The record was last updated on Sep 23, 2013.