Family Periodontic Specialists, Plc
Dentist, Periodontics in Saint Paul, MN. Organization (NPI-2).
NPI number1194474593
StatusActive
Last updated in NPPESMar 22, 2022
Details
- NPI
- 1194474593
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Periodontic Specialists, Plc
- Organization subpart
- Yes
- Enumeration date
- Mar 22, 2022
- Certification date
- Mar 22, 2022
- Last updated
- Mar 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | – | – | Yes |
Other names
- Metro Dentalcare St. Paul Midway - Periodontics (Doing Business As)
Practice location
1375 Saint Anthony AveSaint Paul, MN 55104-4006
Phone 651-645-4671 · Fax 651-646-1342
Mailing address
1375 Saint Anthony AveSaint Paul, MN 55104-4006
Phone 651-645-4671 · Fax 651-646-1342
Authorized official
Celia Hayes
Credentialing Coordinator
2175402100
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Other Periodontics providers in Saint Paul, MN
- Jeanne L Barss, DDS, MSNPI 1386901858
- Robert L Jensen, DDS MSDNPI 1720099849
- Hema V Menon, B.D.S, M.S.DNPI 1891018842
- Frank J Raab, DDS, MSNPI 1487720983
- Sedation & Implant DentistryNPI 1073787669
- Daniel SkaarNPI 1598865750
All 7 Periodontics providers in Saint Paul · All 12,912 providers in Saint Paul
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