Family & Cosmetic Gentle Dentistry

LBN: Family & Cosmetic Gentle Dentistry
Family & Cosmetic Gentle Dentistry is an health care organization with primary practice located at 4787 Shoreline Dr , Spring Park MN 55384-9713. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Family & Cosmetic Gentle Dentistry can be contacted via phone (952) 471-0900, or through Gavic, Diana via phone (952) 224-9771.

Contact Information

Primary practice address
4787 Shoreline Dr Spring Park MN 55384-9713
Phone: (952) 471-0900
Fax: (952) 471-1046
Website:
Map and Directions
Authorized official contact:
Name: Gavic, Diana
Phone: (952) 224-9771

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1790967248
LBN Legal business name Family & Cosmetic Gentle Dentistry
DBA Doing business as
Authorized official Gavic, Diana
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 27th, 2007
Last updated Jun 20th, 2008 - about 17 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 1790967248 NPPES
Minnesota MEDICAID 318092100

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