Carousel Pediatric Dentistry Pllc

LBN: Carousel Pediatric Dentistry Pllc
Carousel Pediatric Dentistry Pllc is an health care organization with primary practice located at 15160 Foliage Ave Ste 110 , Apple Valley MN 55124-5916. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Carousel Pediatric Dentistry Pllc can be contacted via phone (952) 715-6177, or through Nordeen, Kyle via phone (952) 715-6177.

Contact Information

Primary practice address
15160 Foliage Ave Ste 110 Apple Valley MN 55124-5916
Phone: (952) 715-6177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nordeen, Kyle Doctor of Dental Surgery (DDS)
Phone: (952) 715-6177

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1114514205
LBN Legal business name Carousel Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Nordeen, Kyle Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2020
Last updated Dec 23rd, 2020 - about 5 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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