Greenhaven Family Dental

LBN: Greenhaven Family Dental
Greenhaven Family Dental is an health care organization with primary practice located at 13495 Elder Dr Suite 100, Baxter MN 56425-8763. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Greenhaven Family Dental can be contacted via phone (218) 454-0523, or through Osborn, Carol via phone (218) 454-0523.

Contact Information

Primary practice address
13495 Elder Dr Suite 100 Baxter MN 56425-8763
Phone: (218) 454-0523
Fax: (218) 454-0524
Website:
Map and Directions
Authorized official contact:
Name: Osborn, Carol
Phone: (218) 454-0523

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10518 Minnesota

Profile Details

NPI number 1922254168
LBN Legal business name Greenhaven Family Dental
DBA Doing business as
Authorized official Osborn, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2008
Last updated Aug 7th, 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 1922254168 NPPES
Minnesota MEDICAID 674722100

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