1St Family Dental Care

LBN: Omar Dyab Dds Pa
1St Family Dental Care is an health care organization with primary practice located at 13590 Northdale Blvd Suite 300, Rogers MN 55374-2150. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Omar Dyab Dds Pa can be contacted via phone (763) 428-1215, or through Dyab, Omar via phone (763) 428-1215.

Contact Information

Primary practice address
13590 Northdale Blvd Suite 300 Rogers MN 55374-2150
Phone: (763) 428-1215
Fax: (763) 428-1398
Website:
Map and Directions
Authorized official contact:
Name: Dyab, Omar Doctor of Dental Surgery (DDS)
Phone: (763) 428-1215

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X D12346 Minnesota

Profile Details

NPI number 1801118039
LBN Legal business name Omar Dyab Dds Pa
DBA Doing business as 1St Family Dental Care
Authorized official Dyab, Omar Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2010
Last updated Feb 15th, 2010 - about 14 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 1801118039 NPPES
Minnesota MEDICAID 1235267980

Popular Providers