Smisek Family Dentistry P.A.
LBN: Smisek Family Dentistry P.A.
Smisek Family Dentistry P.A. is an health care organization with primary practice located at 501 Tanglewood Dr , Shoreview MN 55126-2016. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Smisek Family Dentistry P.A. can be contacted via phone (651) 483-6747, or through Smisek, Gary Ralph via phone (651) 483-6747.
Contact Information
Primary practice address
501 Tanglewood Dr
Shoreview MN 55126-2016
Phone: (651) 483-6747
Fax: (651) 483-1863
Website:
Authorized official contact:
Name: Smisek, Gary Ralph Doctor of Dental Surgery (DDS)
Phone: (651) 483-6747
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7909 | Minnesota |
| Dental Providers / General Practice | 1223G0001X | 9783 | Minnesota |
Profile Details
| NPI number | 1457570194 |
|---|---|
| LBN Legal business name | Smisek Family Dentistry P.A. |
| DBA Doing business as | |
| Authorized official | Smisek, Gary Ralph Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 17th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457570194 | NPPES |
| Other | 41-124-3604 | FEDERAL ID. NUMBER | |
| Other | 66340-47 | FEDERAL ID. NUMBER |
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