Grove, Brian Elmer

Grove, Brian Elmer is an individual health care provider with primary practice located at 1021 Bandana Blvd E Suite 121, Saint Paul MN 55108-5113. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Grove, Brian Elmer can be contacted via phone (651) 224-4969.

Contact Information

Primary practice address
1021 Bandana Blvd E Suite 121 Saint Paul MN 55108-5113
Fax: (651) 223-8047
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 21748 Massachusetts

Profile Details

NPI number 1700986098
LBN Legal business name Grove, Brian Elmer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 5th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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