Wooddale Dental Group Pa

LBN: Wooddale Dental Group Pa
Wooddale Dental Group Pa is an health care organization with primary practice located at 3401 Wooddale Ave S , St Louis Park MN 55416-2340. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Wooddale Dental Group Pa can be contacted via phone (952) 929-3336, or through Spencer, Michael James via phone (952) 929-3336.

Contact Information

Primary practice address
3401 Wooddale Ave S St Louis Park MN 55416-2340
Phone: (952) 929-3336
Fax: (952) 929-3338
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Michael James
Phone: (952) 929-3336

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1356404883
LBN Legal business name Wooddale Dental Group Pa
DBA Doing business as
Authorized official Spencer, Michael James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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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