Bagley Dental

LBN: Bagley Dental
Bagley Dental is an health care organization with primary practice located at 13 Main Ave N , Bagley MN 56621-0299. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Bagley Dental can be contacted via phone (218) 964-6571, or through Waggoner, Roxane Lynn via phone (218) 694-6571.

Contact Information

Primary practice address
13 Main Ave N Bagley MN 56621-0299
Phone: (218) 964-6571
Fax: (218) 694-6555
Website:
Map and Directions
Authorized official contact:
Name: Waggoner, Roxane Lynn
Phone: (218) 694-6571

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10967 Minnesota
Dental Providers / Dentist 122300000X 10965 Minnesota
Dental Providers / Dentist 122300000X 10792 Minnesota

Profile Details

NPI number 1407030984
LBN Legal business name Bagley Dental
DBA Doing business as
Authorized official Waggoner, Roxane Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 20th, 2007 - about 17 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.

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