Organization · Type 2 NPI
Minnesota Periodontal Associates, PA
Periodontics · White Bear Lake, MN
NPI number
1508300252
Active
Practice location
4801 Hwy 61 N., Suite 300
White Bear Lake, MN 55110-2753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | D13190 (MN) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in White Bear Lake
About NPI 1508300252
Minnesota Periodontal Associates, PA's National Provider Identifier is 1508300252, issued on Dec 15, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in White Bear Lake, MN. The record was last updated on Dec 22, 2016.