Organization · Type 2 NPI

Minnesota Dental Professionals, P.c.

General Practice Dentistry · Forest Lake, MN

NPI number 1619451192 Active

Practice location

107 12th St SW Ste 2
Forest Lake, MN 55025-1467

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

2 other providers at this address

Other general practice dentistry providers in Forest Lake

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NPI record

NPI: 1619451192
Entity type: Organization (Type 2)
Issued: Sep 20, 2018
Last updated: Dec 17, 2018
Status: Active
Subpart: Yes of Minnesota Dental Professionals, P.c.

Other names

<unavail>
Southwest Dental Care · doing business as
Southwest Dental Care · doing business as

Authorized official

Jessica Britt
Credentialing Coordinator
(217) 540-8426

Verify this record

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 1619451192

Minnesota Dental Professionals, P.c.'s National Provider Identifier is 1619451192, issued on Sep 20, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Forest Lake, MN. The record was last updated on Dec 17, 2018.