Pediatric Dental Care

LBN: Christopher E Carroll
Pediatric Dental Care is an health care organization with primary practice located at 150 E 4Th St , Winona MN 55987-3512. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Christopher E Carroll can be contacted via phone (507) 452-1543, or through Carroll, Christopher E via phone (507) 452-1543.

Contact Information

Primary practice address
150 E 4Th St Winona MN 55987-3512
Phone: (507) 452-1543
Fax: (507) 452-6874
Website:
Map and Directions
Authorized official contact:
Name: Carroll, Christopher E Doctor of Dental Medicine (DMD)
Phone: (507) 452-1543

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8405 Minnesota

Profile Details

NPI number 1275756488
LBN Legal business name Christopher E Carroll
DBA Doing business as Pediatric Dental Care
Authorized official Carroll, Christopher E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275756488 NPPES
Minnesota Other 4822990 MN TAX ID
Minnesota MEDICAID 33461700 MN TAX ID

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