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Central Mn Pediatric Dentists Pa
Pediatric Dentist in St Cloud, Minnesota
NPI 1144267063

Central Mn Pediatric Dentists Pa is a Pediatric Dentist based in St Cloud, MN and is specialized in Pediatric Dentistry. Central Mn Pediatric Dentists Pa practices in St Cloud, MN. The NPI Number for Central Mn Pediatric Dentists Pa is 1144267063 and holds a License No. (Minnesota).

The current practice location address for Central Mn Pediatric Dentists Pa is 1900 Centracare Circle, St Cloud, MN and can be reached out via phone at 320-253-0272 and via fax at 320-251-2661.

Location: 1900 Centracare Circle, St Cloud, MN, 56303-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144267063
Provider Name
Central Mn Pediatric Dentists Pa
Credential
Provider Entity Type
Organization
Address
1900 Centracare Circle, St Cloud, MN, 56303-5000
Phone Number
320-253-0272
Fax Number
320-251-2661
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
678350300 05 MN
55520WE 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
1900 Centracare Circle
City
St Cloud
State
Minnesota
Zip
56303-5000
Phone Number
320-253-0272
Fax Number
320-251-2661
person
Provider Business Mailing Address Details
Address
1900 Centracare Circle
City
St Cloud
State
Minnesota
Zip
56303-5000
Phone Number
320-253-0272
Fax Number
320-251-2661
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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