University Ave Dental, Pllc

LBN: University Ave Dental, Pllc
University Ave Dental, Pllc is an health care organization with primary practice located at 10155 University Ave Ne Ste 112 , Blaine MN 55434-8058. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. University Ave Dental, Pllc can be contacted via phone (763) 784-1242, or through Spanish, Marty via phone (952) 836-7924.

Contact Information

Primary practice address
10155 University Ave Ne Ste 112 Blaine MN 55434-8058
Phone: (763) 784-1242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spanish, Marty Doctor of Dental Surgery (DDS)
Phone: (952) 836-7924

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1093468852
LBN Legal business name University Ave Dental, Pllc
DBA Doing business as
Authorized official Spanish, Marty Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2022
Last updated Feb 1st, 2022 - about 3 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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