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 2147 Northdale Blvd Nw , Coon Rapids MN 55433. 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) 209-3139, or through Bodin, Robert Luther via phone (952) 224-9788.

Contact Information

Primary practice address
2147 Northdale Blvd Nw Coon Rapids MN 55433
Phone: (651) 209-3139
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bodin, Robert Luther Doctor of Dental Surgery (DDS)
Phone: (952) 224-9788

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1477112456
LBN Legal business name Family & Cosmetic Gentle Dentistry, Ltd
DBA Doing business as
Authorized official Bodin, Robert Luther Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2019
Last updated Jun 12th, 2019 - about 5 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 1477112456 NPPES
Minnesota MEDICAID 256415000

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