Organization · Type 2 NPI

Falls Court Dentists

General Practice Dentistry · Sauk Centre, MN

NPI number 1285030387 Active

Practice location

304 Main St
Sauk Centre, MN 56378

Fax (320) 351-4577

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	9733 (MN)

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.

Another provider at this address

Michael David Long, DDSDentist Sauk Centre, MN NPI 1003908971

NPI record

NPI: 1285030387
Entity type: Organization (Type 2)
Issued: Nov 17, 2014
Last updated: Oct 30, 2015
Status: Active
Subpart: Yes of Falls Court Dentists

Other names

<unavail>
Main Street Dental of Sauk Centre · doing business as

Authorized official

Tammy Marie Hines
Office MGR
(320) 632-6621

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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 1285030387

Falls Court Dentists's National Provider Identifier is 1285030387, issued on Nov 17, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sauk Centre, MN. The record was last updated on Oct 30, 2015.