Dakota Family Dentistry PLLC
Clinic/Center, Dental in Inver Grove Heights, MN. Organization (NPI-2).
NPI number1982241493
StatusActive
Last updated in NPPESDec 3, 2019
Details
- NPI
- 1982241493
- Entity type
- Organization (NPI-2)
- Legal business name
- Dakota Family Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2019
- Last updated
- Dec 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
5766 Blackshire PathInver Grove Heights, MN 55076-2441
Phone 651-457-8866
Mailing address
230 Wentworth Ave EWest Saint Paul, MN 55118-3525
Phone 651-457-8866
Authorized official
Christina Van Guilder
Partner/Dentist
6514578866
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