Rosemount Dental
LBN: St. Croix Valley Dental, Pllc
Rosemount Dental is an health care organization with primary practice located at 14895 S Robert Trl , Rosemount MN 55068-3108. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty.
St. Croix Valley Dental, Pllc can be contacted via phone (952) 423-2288, or through Wolff, Douglas S. via phone (651) 439-2600.
Contact Information
Primary practice address
14895 S Robert Trl
Rosemount MN 55068-3108
Phone: (952) 423-2288
Fax: (952) 423-2203
Website:
Authorized official contact:
Name: Wolff, Douglas S. Doctor of Dental Surgery (DDS)
Phone: (651) 439-2600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Point of Service | 305S00000X | D11236 | Minnesota |
| Managed Care Organizations / Point of Service | 305S00000X | D11480 | Minnesota |
Profile Details
| NPI number | 1619144540 |
|---|---|
| LBN Legal business name | St. Croix Valley Dental, Pllc |
| DBA Doing business as | Rosemount Dental |
| Authorized official | Wolff, Douglas S. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2008 |
| Last updated | May 9th, 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 | 1619144540 | NPPES |
| Minnesota | Other | 275435000 | MHCP |
| Minnesota | Other | 071695000 | MHCP |
| Minnesota | Other | 617665000 | MHCP |
| Minnesota | Other | 897945000 | MHCP |
| Minnesota | Other | 38396800 | MHCP |
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