John D. Nydahl, Dds, P. A.

LBN: John D. Nydahl, Dds, P. A.
John D. Nydahl, Dds, P. A. is an health care organization with primary practice located at 1011 2Nd St N Ste 101 , Saint Cloud MN 56303-3237. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. John D. Nydahl, Dds, P. A. can be contacted via phone (320) 253-0744, or through Nydahl, John D. via phone (320) 253-0744.

Contact Information

Primary practice address
1011 2Nd St N Ste 101 Saint Cloud MN 56303-3237
Phone: (320) 253-0744
Fax: (320) 253-9930
Website:
Map and Directions
Authorized official contact:
Name: Nydahl, John D. Doctor of Dental Surgery (DDS)
Phone: (320) 253-0744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D8204 Minnesota

Profile Details

NPI number 1174547855
LBN Legal business name John D. Nydahl, Dds, P. A.
DBA Doing business as
Authorized official Nydahl, John D. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1174547855 NPPES
Minnesota Other 55162NY BLUE CROSS BLUE SHIELD
Minnesota Other D8204 BLUE CROSS BLUE SHIELD

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