Community Dental Care

LBN: Community Dental Care
Community Dental Care is an health care organization with primary practice located at 1670 Beam Ave , Maplewood MN 55109-1201. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Community Dental Care can be contacted via phone (651) 925-8400, or through Peterson, Vacharee via phone (651) 925-8400.

Contact Information

Primary practice address
1670 Beam Ave Maplewood MN 55109-1201
Phone: (651) 925-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Vacharee Doctor of Dental Surgery (DDS)
Phone: (651) 925-8400

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X H9154 Minnesota

Profile Details

NPI number 1992102040
LBN Legal business name Community Dental Care
DBA Doing business as
Authorized official Peterson, Vacharee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2014
Last updated Dec 4th, 2014 - about 10 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 1992102040 NPPES
Minnesota MEDICAID 124Q00000X

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