Amundson, Nicole R

Amundson, Nicole R is an individual health care provider with primary practice located at 11475 Robinson Dr Nw , Coon Rapids MN 55433. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Amundson, Nicole R can be contacted via phone (763) 587-9100.

Contact Information

Primary practice address
11475 Robinson Dr Nw Coon Rapids MN 55433
Phone: (763) 587-9100
Fax: (763) 587-9101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12528 Minnesota
Dental Providers / Dentist 122300000X D12528 Minnesota

Profile Details

NPI number 1477715514
LBN Legal business name Amundson, Nicole R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Nov 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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