Dental Clinic

LBN: University Of Minnesota Physicians
Dental Clinic is an health care organization with primary practice located at 606 24Th Ave S Suite 200, Minneapolis MN 55454-1455. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. University Of Minnesota Physicians can be contacted via phone (812) 659-8689, or through Johnson, Mary via phone (612) 884-0802.

Contact Information

Primary practice address
606 24Th Ave S Suite 200 Minneapolis MN 55454-1455
Phone: (812) 659-8689
Fax: (612) 659-8690
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Mary COO
Phone: (612) 884-0802

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1952546061
LBN Legal business name University Of Minnesota Physicians
DBA Doing business as Dental Clinic
Authorized official Johnson, Mary COO
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Jun 5th, 2013 - about 11 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 1952546061 NPPES
Minnesota MEDICAID 701372800

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