NPI 1649590829

Dr. Dennis L. Nierengarten, D.D.S., P.A.

Organisation Exclusive Provider Organization Saint Cloud, MN

Practice location

Address: 1511 Northway Dr STE 102, Saint Cloud, MN 56303-1262
Phone: (320) 255-1020
Fax: (320) 255-1020

Authorised official

Name: Dennis Lee Nierengarten
Title: Owner/Dentist
Phone: (320) 255-1020

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence D9004 (MN)

Other Exclusive Provider Organization providers in Minnesota →

Registry record

NPI: 1649590829
Entity type: Organization
NPI issued: 10 Jun 2010
Record last updated: 10 Jun 2010

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.