Family & Cosmetic Gentle Dentistry, Ltd

LBN: Family & Cosmetic Gentle Dentistry, Ltd
Family & Cosmetic Gentle Dentistry, Ltd is an health care organization with primary practice located at 1340 Duckwood Dr , Eagan MN 55123-2324. 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, Ltd can be contacted via phone (651) 209-9999, or through Gavic, Diana via phone (952) 224-9771.

Contact Information

Primary practice address
1340 Duckwood Dr Eagan MN 55123-2324
Phone: (651) 209-9999
Fax: (651) 209-0396
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 1093997546
LBN Legal business name Family & Cosmetic Gentle Dentistry, Ltd
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 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 1093997546 NPPES
Minnesota MEDICAID 625193500

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