4Th Avenue Dental, Pa, Dba Oak Park Dental

LBN: 4Th Avenue Dental, Pa, Dba Oak Park Dental
4Th Avenue Dental, Pa, Dba Oak Park Dental is an health care organization with primary practice located at 505 Johnson Ave Se , Pine City MN 55063-2108. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 4Th Avenue Dental, Pa, Dba Oak Park Dental can be contacted via phone (320) 629-2282, or through Ascheman, Alicia via phone (320) 629-2282.

Contact Information

Primary practice address
505 Johnson Ave Se Pine City MN 55063-2108
Phone: (320) 629-2282
Fax: (320) 629-3357
Website:
Map and Directions
Authorized official contact:
Name: Ascheman, Alicia
Phone: (320) 629-2282

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11935 Minnesota

Profile Details

NPI number 1609298355
LBN Legal business name 4Th Avenue Dental, Pa, Dba Oak Park Dental
DBA Doing business as
Authorized official Ascheman, Alicia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers