NPI 1518027754

Minnesota State Community and Technical College - Dental

Organisation Public Health Dentistry Moorhead, MN

Practice location

Address: 1900 28th Ave S, Moorhead, MN 56560-4830
Phone: (218) 299-6560
Fax: (218) 299-6532

Authorised official

Name: Thomas L Boe
Title: Director Dental Departmen
Phone: (218) 299-6819

Registered specialties

Public Health Dentistry Primary

Dental Providers Taxonomy 1223D0001X

Other Dentist providers in Minnesota →

Registry record

NPI: 1518027754
Entity type: Organization
NPI issued: 11 Dec 2006
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.