Main Street Dental Clinic Of Mankato, Pllp

LBN: Main Street Dental Clinic Of Mankato, Pllp
Main Street Dental Clinic Of Mankato, Pllp is an health care organization with primary practice located at 287 St Andrews Drive 100, Mankato MN 56001. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Main Street Dental Clinic Of Mankato, Pllp can be contacted via phone (507) 720-0250, or through Hanson, Chad Michael via phone (507) 583-2141.

Contact Information

Primary practice address
287 St Andrews Drive 100 Mankato MN 56001
Phone: (507) 720-0250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Chad Michael Doctor of Dental Surgery (DDS)
Phone: (507) 583-2141

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12942 Minnesota

Profile Details

NPI number 1285032243
LBN Legal business name Main Street Dental Clinic Of Mankato, Pllp
DBA Doing business as
Authorized official Hanson, Chad Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2014
Last updated Dec 8th, 2014 - about 10 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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