Creekside Dental Pllc

LBN: Creekside Dental Pllc
Creekside Dental Pllc is an health care organization with primary practice located at 3340 Republic Ave Ste 130 , St Louis Park MN 55426-4189. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Creekside Dental Pllc can be contacted via phone (763) 442-7624, or through De Los Rios, Gabriel via phone (763) 442-7624.

Contact Information

Primary practice address
3340 Republic Ave Ste 130 St Louis Park MN 55426-4189
Phone: (763) 442-7624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: De Los Rios, Gabriel Doctor of Dental Surgery (DDS)
Phone: (763) 442-7624

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1043955412
LBN Legal business name Creekside Dental Pllc
DBA Doing business as
Authorized official De Los Rios, Gabriel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2022
Last updated May 1st, 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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