Organization · Type 2 NPI

Family and Cosmetic Gentle Dentistry

General Practice Dentistry · Edina, MN

NPI number 1760837041 Active

Practice location

5107 Gus Young Ln
Edina, MN 55436-1530

Fax (952) 929-1802

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 Edina

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NPI record

NPI: 1760837041
Entity type: Organization (Type 2)
Issued: Apr 25, 2016
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Fmaily and Cosmetic Gentle Dentistry

Other names

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Family and Cosmetic Gentle Dentistry · doing business as

Authorized official

Robert Luther Bodin, DDS
Owner
(952) 224-9774

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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 1760837041

Family and Cosmetic Gentle Dentistry's National Provider Identifier is 1760837041, issued on Apr 25, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Edina, MN. The record was last updated on Jul 21, 2022.