Organization · Type 2 NPI
Central Minnesota Pediatric Dentists PA
Pediatric Dentistry · Alexandria, MN
NPI number
1396186813
Active
Practice location
507 N Nokomis St Ste C
Alexandria, MN 56308-2353
Fax (320) 251-2661
Mailing address
1900 Centracare Cir Ste 350
St. Cloud, MN 56303-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | D7765 (MN) |
| Pediatric Dentistry Primary | 1223P0221X | D11073 (MN) |
| Pediatric Dentistry | 1223P0221X | D11344 (MN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1396186813
Central Minnesota Pediatric Dentists PA's National Provider Identifier is 1396186813, issued on Jul 12, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Alexandria, MN. The record was last updated on Jul 12, 2013.