NPI 1427623966

Minnesota Dental Professionals, P.C.

Organisation General Practice Dentistry Cottage Grove, MN

Practice location

Address: 6939 Pine Arbor Dr S STE 104, Cottage Grove, MN 55016-4643
Phone: (651) 459-3514

Authorised official

Name: Tabatha Lemke
Title: Credentialing Coordinator
Phone: (217) 540-6078

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1427623966
Entity type: Organization
NPI issued: 26 May 2021
Record last updated: 26 May 2021

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.