Eagan Dental Associates Dba Northwood Dental

LBN: Eagan Dental Associates Dba Northwood Dental
Eagan Dental Associates Dba Northwood Dental is an health care organization with primary practice located at 1227 Northwood Pkwy , Eagan MN 55121-4204. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eagan Dental Associates Dba Northwood Dental can be contacted via phone (651) 687-0789, or through Taple, Loren Jeffrey via phone (651) 687-0789.

Contact Information

Primary practice address
1227 Northwood Pkwy Eagan MN 55121-4204
Fax: (651) 687-0902
Website:
Authorized official contact:
Name: Taple, Loren Jeffrey Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10386 Minnesota

Profile Details

NPI number 1891749362
LBN Legal business name Eagan Dental Associates Dba Northwood Dental
DBA Doing business as
Authorized official Taple, Loren Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jun 24th, 2008 - about 16 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 1891749362 NPPES
Minnesota MEDICAID 1891749362
Minnesota MEDICAID 405522500
Minnesota MEDICAID 565522600

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