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Long Lake Family Denistry
Oral and Maxillofacial Surgery (Dentist) in New Brighton, Minnesota
NPI 1134574163

Long Lake Family Denistry is a Oral and Maxillofacial Surgery (Dentist) based in New Brighton, MN and is specialized in Oral and Maxillofacial Surgery. Long Lake Family Denistry practices in New Brighton, MN. The NPI Number for Long Lake Family Denistry is 1134574163 and holds a License No. 10256 (Minnesota).

The current practice location address for Long Lake Family Denistry is 991 9Th Ave Nw, New Brighton, MN and can be reached out via phone at 651-633-1311 and via fax at 651-633-4339.

Location: 991 9Th Ave Nw, New Brighton, MN, 55112-2665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134574163
Provider Name
Long Lake Family Denistry
Credential
Provider Entity Type
Organization
Address
991 9Th Ave Nw, New Brighton, MN, 55112-2665
Phone Number
651-633-1311
Fax Number
651-633-4339
Provider Enumeration Date
04/27/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
991 9Th Ave Nw
City
New Brighton
State
Minnesota
Zip
55112-2665
Phone Number
651-633-1311
Fax Number
651-633-4339
person
Provider Business Mailing Address Details
Address
991 9Th Ave Nw
City
New Brighton
State
Minnesota
Zip
55112-2665
Phone Number
651-633-1311
Fax Number
651-633-4339
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D13480 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
10256 (Minnesota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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