Interlachen Dental Associates

LBN: Interlachen Dental Associates
Interlachen Dental Associates is an health care organization with primary practice located at 5101 Vernon Avenue Suite 1B, Edina MN 55436. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Interlachen Dental Associates can be contacted via phone (952) 920-9579, or through Gitzen, Michael John via phone (952) 920-9579.

Contact Information

Primary practice address
5101 Vernon Avenue Suite 1B Edina MN 55436
Phone: (952) 920-9579
Fax: (952) 920-9298
Website:
Map and Directions
Authorized official contact:
Name: Gitzen, Michael John Doctor of Dental Surgery (DDS)
Phone: (952) 920-9579

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1174600621
LBN Legal business name Interlachen Dental Associates
DBA Doing business as
Authorized official Gitzen, Michael John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 12th, 2012 - 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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