Grace Dental

LBN: Mahtomedi Dental P.C.
Grace Dental is an health care organization with primary practice located at 12425 55Th St N , Lake Elmo MN 55042-7403. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mahtomedi Dental P.C. can be contacted via phone (651) 430-1020, or through Stodola, Laurie L via phone (651) 430-1020.

Contact Information

Primary practice address
12425 55Th St N Lake Elmo MN 55042-7403
Phone: (651) 430-1020
Fax: (651) 439-2201
Website:
Map and Directions
Authorized official contact:
Name: Stodola, Laurie L Doctor of Dental Surgery (DDS)
Phone: (651) 430-1020

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11396 Minnesota

Profile Details

NPI number 1275969263
LBN Legal business name Mahtomedi Dental P.C.
DBA Doing business as Grace Dental
Authorized official Stodola, Laurie L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2013
Last updated Sep 23rd, 2013 - about 11 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.

Request for update

Popular Providers