NPI 1033351457

Minneapolis Dental

Organisation Dentist Minneapolis, MN

Practice location

Address: 150 S 5th St STE 1475, Minneapolis, MN 55402-4212
Phone: (612) 332-1255
Fax: (612) 388-3721

Authorised official

Name: Lorrie K Hodd
Title: Dentist
Phone: (612) 332-1255

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 10117 (MN)

Other Dentist providers in Minnesota →

Dentist

Dental Providers Taxonomy 122300000X Licence D7958 (MN)

Registry record

NPI: 1033351457
Entity type: Organization
NPI issued: 31 Mar 2009
Record last updated: 31 Mar 2009

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.