Blaine Kidds Pediatric Dentistry Pllc

LBN: Blaine Kidds Pediatric Dentistry Pllc
Blaine Kidds Pediatric Dentistry Pllc is an health care organization with primary practice located at 1351 113Th Ave Ne , Blaine MN 55434-3874. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Blaine Kidds Pediatric Dentistry Pllc can be contacted via phone (651) 324-4270, or through Rindelaub, Darcy J via phone (651) 324-4270.

Contact Information

Primary practice address
1351 113Th Ave Ne Blaine MN 55434-3874
Phone: (651) 324-4270
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rindelaub, Darcy J DDS, MS
Phone: (651) 324-4270

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D11365 Minnesota

Profile Details

NPI number 1538678057
LBN Legal business name Blaine Kidds Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Rindelaub, Darcy J DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2017
Last updated Sep 27th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538678057 NPPES
Minnesota MEDICAID 122648700
Minnesota Other 1639126683

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