St. James Family Dentistry
LBN: Eagle Lake Family Dentistry, Pa
St. James Family Dentistry is an health care organization with primary practice located at 504 2Nd Ave S , Saint James MN 56081-1737. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Eagle Lake Family Dentistry, Pa can be contacted via phone (507) 375-4611, or through Vostad, Sean Patrick via phone (507) 257-3800.
Contact Information
Primary practice address
504 2Nd Ave S
Saint James MN 56081-1737
Phone: (507) 375-4611
Fax: (507) 375-4989
Website:
Authorized official contact:
Name: Vostad, Sean Patrick Doctor of Dental Surgery (DDS)
Phone: (507) 257-3800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D9088 | Minnesota |
| Dental Providers / Dentist | 122300000X | D11770 | Minnesota |
| Dental Providers / Dentist | 122300000X | D12980 | Minnesota |
Profile Details
| NPI number | 1689952038 |
|---|---|
| LBN Legal business name | Eagle Lake Family Dentistry, Pa |
| DBA Doing business as | St. James Family Dentistry |
| Authorized official | Vostad, Sean Patrick Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 2nd, 2011 |
| Last updated | Aug 2nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689952038 | NPPES |
| Minnesota | Other | 1245529650 | NPI |
| Minnesota | Other | 1528138948 | NPI |
| Minnesota | Other | 1770653446 | NPI |
| Minnesota | Other | 1649340050 | NPI |
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