Engstrand, Gordon Dale
Engstrand, Gordon Dale is an sole proprietor health care provider with primary practice located at 2000 Plymouth Rd Suite 357, Minnetonka MN 55305-2366. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Engstrand, Gordon Dale can be contacted via phone (952) 544-1449.Contact Information
Primary practice address
2000 Plymouth Rd Suite 357
Minnetonka MN 55305-2366
Phone: (952) 544-1449
Fax: (952) 544-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D9825 | Minnesota |
Profile Details
| NPI number | 1922150770 |
|---|---|
| LBN Legal business name | Engstrand, Gordon Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922150770 | NPPES |
| Minnesota | Other | D253899 | CIGNA HMO |
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