NPI 1043715204

Minnesota Dental Professionals, P.C.

Organisation Dentist Lakeville, MN

Practice location

Address: 16138 Pilot Knob Rd, Lakeville, MN 55044
Phone: (952) 679-7779
Fax: (952) 679-7778
Mailing address: 16138 Pilot Knob Rd, Lakeville, MN 55044-4105

Authorised official

Name: Jessica Britt
Title: Credentialing Coordinator
Phone: (217) 540-8426

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1043715204
Entity type: Organization
NPI issued: 28 Mar 2018
Record last updated: 5 Jun 2018

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.