Organization · NPI-2

Dodson Pain Consultants PA Corp

Clinic/Center · Plymouth, MN

NPI number1275881971
StatusActive
Last updated in NPPESFeb 15, 2024

Details

NPI
1275881971
Entity type
Organization (NPI-2)
Legal business name
Dodson Pain Consultants PA Corp
Organization subpart
No
Enumeration date
Aug 28, 2012
Certification date
Feb 15, 2024
Last updated
Feb 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
261QD0000X Clinic/Center, Dental––
261QP3300X Clinic/Center, Pain52435MN
261QP3300X Clinic/Center, Pain––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Dpc Medical (Doing Business As)

Practice location

28 Nathan Ln N
Plymouth, MN 55441-6306

Phone 763-588-7099 · Fax 763-522-2222

Mailing address

28 Nathan Ln N
Plymouth, MN 55441-6306

Phone 763-588-7099 · Fax 763-522-2222

Authorized official

David K Dodson
President
7635887099

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Plymouth, MN