Organization Name: | MSP DENTISTRY, INC. |
NPI Number: | 1558719922 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAJID FEHRESTI (OWNER/DENTIST) |
Mailing Address: | 12027 Business Park Blvd N Champlin |
State: | MN US |
Postal Code: | 553164526 |
Phone Number: | 7634217900 |
Fax Number: | 7634217916 |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | D12034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |