Northern Dental Partners And Associates Pllc

LBN: Northern Dental Partners And Associates Pllc
Northern Dental Partners And Associates Pllc is an health care organization with primary practice located at 1121 Se 4Th Ave , Grand Rapids MN 55744-3956. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Northern Dental Partners And Associates Pllc can be contacted via phone (218) 326-3437, or through Miskovich, Peter John via phone (218) 326-3437.

Contact Information

Primary practice address
1121 Se 4Th Ave Grand Rapids MN 55744-3956
Fax: (218) 327-1211
Website:
Authorized official contact:
Name: Miskovich, Peter John Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1396497434
LBN Legal business name Northern Dental Partners And Associates Pllc
DBA Doing business as
Authorized official Miskovich, Peter John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2022
Last updated Jan 20th, 2022 - about 2 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 1396497434 NPPES
Minnesota Other 274L7MI27SL BCBS
Minnesota MEDICAID 842936700 BCBS

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