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Minneapolis-st. Paul Periodontics
Periodontist in Fridley, Minnesota
NPI 1013216811

Minneapolis-st. Paul Periodontics is a Periodontist based in Fridley, MN and is specialized in Periodontics. Minneapolis-st. Paul Periodontics practices in Fridley, MN. The NPI Number for Minneapolis-st. Paul Periodontics is 1013216811 and holds a License No. D11710 (Minnesota).

The current practice location address for Minneapolis-st. Paul Periodontics is 1109 East Moore Lake Drive, Fridley, MN and can be reached out via phone at 651-439-2600 and via fax at 651-439-2211.

Location: 1109 East Moore Lake Drive, Fridley, MN, 55432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013216811
Provider Name
Minneapolis-st. Paul Periodontics
Credential
Provider Entity Type
Organization
Address
1109 East Moore Lake Drive, Fridley, MN, 55432
Phone Number
651-439-2600
Fax Number
651-439-2211
Provider Enumeration Date
03/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1109 East Moore Lake Drive
City
Fridley
State
Minnesota
Zip
55432
Phone Number
651-439-2600
Fax Number
651-439-2211
person
Provider Business Mailing Address Details
Address
1109 East Moore Lake Drive
City
Fridley
State
Minnesota
Zip
55432
Phone Number
651-439-2600
Fax Number
651-439-2211
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
D11710 (Minnesota)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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