Individual provider · Type 1 NPI
Jacqueline Medina, DDS
General Practice Dentistry · Minneapolis, MN
NPI number
1679718514
Active
Practice location
515 Delaware St SE Fl 6
Minneapolis, MN 55455-0357
Mailing address
7-530 Moos Tower, 515 Delaware St SE
Minneapolis, MN 55455-0357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 37453 (CA) |
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.
4 other providers at this address
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- Fredrick Allis, DDSGeneral Practice Dentistry Minneapolis, MN NPI 1023113156
- Kim Frons Larson, DDSGeneral Practice Dentistry Minneapolis, MN NPI 1043328107
- Thomas John Cornelissen, DDSGeneral Practice Dentistry Minneapolis, MN NPI 1053364513
- Sonal M. Koratkar, DDSGeneral Practice Dentistry Minneapolis, MN NPI 1053431411
- Norman Vernon Eid, DDSGeneral Practice Dentistry Minneapolis, MN NPI 1053685560
About NPI 1679718514
Jacqueline Medina, DDS's National Provider Identifier is 1679718514, issued on Dec 5, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 4, 2019.