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Minnesota Head And Neck Pain Clinic, Pa
Specialist in Saint Cloud, Minnesota
NPI 1003316852

Minnesota Head And Neck Pain Clinic, Pa is a Specialist based in Plymouth, MN. Minnesota Head And Neck Pain Clinic, Pa practices in Saint Cloud, MN. The NPI Number for Minnesota Head And Neck Pain Clinic, Pa is 1003316852 and holds a License No. (Minnesota).

The current practice location address for Minnesota Head And Neck Pain Clinic, Pa is 622 Roosevelt Rd, Saint Cloud, MN and can be reached out via phone at 763-577-2484 and via fax at 763-577-1375.

Location: 622 Roosevelt Rd, Saint Cloud, MN, 55447-1539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003316852
Provider Name
Minnesota Head And Neck Pain Clinic, Pa
Credential
Provider Entity Type
Organization
Address
622 Roosevelt Rd, Saint Cloud, MN, 55447-1539
Phone Number
763-577-2484
Fax Number
763-577-1375
Provider Enumeration Date
02/19/2018
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
622 Roosevelt Rd
City
Saint Cloud
State
Minnesota
Zip
56301-6153
Phone Number
763-577-2484
Fax Number
763-577-1375
person
Provider Business Mailing Address Details
Address
622 Roosevelt Rd
City
Saint Cloud
State
Minnesota
Zip
56301-6153
Phone Number
763-577-2484
Fax Number
763-577-1375
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
()
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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