Birch Lake Dental Pa

LBN: Birch Lake Dental Pa
Birch Lake Dental Pa is an health care organization with primary practice located at 2641 White Bear Parkway , White Bear Lake MN 55110. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Birch Lake Dental Pa can be contacted via phone (651) 429-0404, or through Damodaran, Geetha J via phone (651) 429-0404.

Contact Information

Primary practice address
2641 White Bear Parkway White Bear Lake MN 55110
Phone: (651) 429-0404
Fax: (651) 429-0472
Website:
Map and Directions
Authorized official contact:
Name: Damodaran, Geetha J Doctor of Dental Surgery (DDS)
Phone: (651) 429-0404

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10949MN Minnesota
Dental Providers / General Practice 1223G0001X 7712MN Minnesota

Profile Details

NPI number 1083853113
LBN Legal business name Birch Lake Dental Pa
DBA Doing business as
Authorized official Damodaran, Geetha J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2009
Last updated Feb 12th, 2009 - about 15 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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