Minnesota State Community And Technical College - Dental

LBN: Minnesota State Community And Technical College - Dental
Minnesota State Community And Technical College - Dental is an health care organization with primary practice located at 1900 28Th Ave S , Moorhead MN 56560-4830. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Minnesota State Community And Technical College - Dental can be contacted via phone (218) 299-6560, or through Boe, Thomas L via phone (218) 299-6819.

Contact Information

Primary practice address
1900 28Th Ave S Moorhead MN 56560-4830
Phone: (218) 299-6560
Fax: (218) 299-6532
Website:
Map and Directions
Authorized official contact:
Name: Boe, Thomas L DDS, MBA
Phone: (218) 299-6819

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1518027754
LBN Legal business name Minnesota State Community And Technical College - Dental
DBA Doing business as
Authorized official Boe, Thomas L DDS, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518027754 NPPES
North Dakota MEDICAID 041211

Popular Providers