Grove Dentist Pa

LBN: Grove Dentist Pa
Grove Dentist Pa is an health care organization with primary practice located at 13649 Grove Dr , Maple Grove MN 55311-4405. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Grove Dentist Pa can be contacted via phone (763) 420-8038, or through Chacko, Reny via phone (651) 308-2804.

Contact Information

Primary practice address
13649 Grove Dr Maple Grove MN 55311-4405
Phone: (763) 420-8038
Fax: (763) 494-4222
Website:
Map and Directions
Authorized official contact:
Name: Chacko, Reny
Phone: (651) 308-2804

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11844 Minnesota

Profile Details

NPI number 1326481284
LBN Legal business name Grove Dentist Pa
DBA Doing business as
Authorized official Chacko, Reny
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated Apr 10th, 2013 - about 12 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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