NPI 1013216811 MINNEAPOLIS-ST. PAUL PERIODONTICS FRIDLEY MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Minneapolis-st. Paul Periodontics - NPI: 1013216811

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MINNEAPOLIS-ST. PAUL PERIODONTICS
NPI Number: 1013216811
Entity Type Code: Organizational (2)
Authorized Official Name: DOUG S WOLFF
(OWNER)
Mailing Address: 1109 East Moore Lake Drive
Fridley
State: MN US
Postal Code: 55432
Phone Number: 6514392600
Fax Number: 6514392211
NPI Enumeration Date: 03/18/2011
NPI Last Update Date: 03/18/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223P0300X
License Number: D11710
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: Periodontics
Taxonomy Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.


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