Brooklyn Blvd. Dental

LBN: Brooklyn Blvd. Dental
Brooklyn Blvd. Dental is an health care organization with primary practice located at 5831 Brooklyn Blvd , Brooklyn Center MN 55429-2521. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Brooklyn Blvd. Dental can be contacted via phone (763) 533-8669, or through Kotonias, William Sam via phone (763) 533-8669.

Contact Information

Primary practice address
5831 Brooklyn Blvd Brooklyn Center MN 55429-2521
Phone: (763) 533-8669
Fax: (763) 533-8716
Website:
Map and Directions
Authorized official contact:
Name: Kotonias, William Sam Doctor of Dental Surgery (DDS)
Phone: (763) 533-8669

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X Minnesota

Profile Details

NPI number 1932373032
LBN Legal business name Brooklyn Blvd. Dental
DBA Doing business as
Authorized official Kotonias, William Sam Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2008
Last updated Jul 21st, 2022 - about 2 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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