Coon Rapids Modern Dentistry, Pc

LBN: Coon Rapids Modern Dentistry, Pc
Coon Rapids Modern Dentistry, Pc is an health care organization with primary practice located at 3320 124Th Ave Nw , Coon Rapids MN 55433-1001. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Coon Rapids Modern Dentistry, Pc can be contacted via phone (763) 290-6623, or through Jithendranathan, Parvathi via phone (763) 290-6623.

Contact Information

Primary practice address
3320 124Th Ave Nw Coon Rapids MN 55433-1001
Phone: (763) 290-6623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jithendranathan, Parvathi
Phone: (763) 290-6623

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1295431138
LBN Legal business name Coon Rapids Modern Dentistry, Pc
DBA Doing business as
Authorized official Jithendranathan, Parvathi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2023
Last updated Feb 2nd, 2023 - about last year

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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