NPI 1003021239

Stat Dental, INC

Organisation Dental Clinic/Center Roseville, MN

Practice location

Address: 2233 Hamline Ave N Suite 432, Roseville, MN 55113-5009
Phone: (651) 778-9911
Fax: (651) 633-0146
Mailing address: 15043 Bridgewater Dr, Savage, MN 55378-5618

Authorised official

Name: Timothy J Giblette
Title: President
Phone: (612) 859-7359

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1003021239
Entity type: Organization
NPI issued: 11 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.