Great River Dental P.A.

LBN: Great River Dental P.A.
Great River Dental P.A. is an health care organization with primary practice located at 375 Jackson St , Saint Paul MN 55101-1810. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Great River Dental P.A. can be contacted via phone (651) 222-0983, or through Rozinka, Jeffrey via phone (651) 222-0986.

Contact Information

Primary practice address
375 Jackson St Saint Paul MN 55101-1810
Phone: (651) 222-0983
Fax: (651) 265-8036
Website:
Map and Directions
Authorized official contact:
Name: Rozinka, Jeffrey Doctor of Dental Surgery (DDS)
Phone: (651) 222-0986

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1811972292
LBN Legal business name Great River Dental P.A.
DBA Doing business as
Authorized official Rozinka, Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Aug 22nd, 2020 - about 4 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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