Mendes Family Dentistry

LBN: Mendes Family Dentistry
Mendes Family Dentistry is an health care organization with primary practice located at 550 Snelling Ave S , Saint Paul MN 55116-1564. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mendes Family Dentistry can be contacted via phone (651) 699-0404, or through Mendes, Charles H via phone (651) 699-0404.

Contact Information

Primary practice address
550 Snelling Ave S Saint Paul MN 55116-1564
Phone: (651) 699-0404
Fax: (651) 699-9034
Website:
Map and Directions
Authorized official contact:
Name: Mendes, Charles H Doctor of Dental Surgery (DDS)
Phone: (651) 699-0404

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1184899106
LBN Legal business name Mendes Family Dentistry
DBA Doing business as
Authorized official Mendes, Charles H Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 17 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 1184899106 NPPES
Minnesota MEDICAID 481641200
Minnesota MEDICAID 728815800

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