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St. Croix Valley Dental, Pllc
Point of Service in Rosemount, Minnesota
NPI 1619144540

St. Croix Valley Dental, Pllc is a Point of Service based in Rosemount, MN. St. Croix Valley Dental, Pllc practices in Rosemount, MN. The NPI Number for St. Croix Valley Dental, Pllc is 1619144540 and holds a License No. D11236 (Minnesota).

The current practice location address for St. Croix Valley Dental, Pllc is 14895 S Robert Trl, Rosemount, MN and can be reached out via phone at 952-423-2288 and via fax at 952-423-2203.

Location: 14895 S Robert Trl, Rosemount, MN, 55068-3108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619144540
Provider Name
St. Croix Valley Dental, Pllc
Credential
Provider Entity Type
Organization
Address
14895 S Robert Trl, Rosemount, MN, 55068-3108
Phone Number
952-423-2288
Fax Number
952-423-2203
Provider Enumeration Date
05/09/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
275435000 01 MN MHCP
071695000 01 WI MHCP
617665000 01 MN MINNESOTA HEALTH CARE PROVIDER
897945000 01 MN MHCP
38396800 01 WI MHCP
institution
Provider Business Practice Location Address Details
Address
14895 S Robert Trl
City
Rosemount
State
Minnesota
Zip
55068-3108
Phone Number
952-423-2288
Fax Number
952-423-2203
person
Provider Business Mailing Address Details
Address
14895 S Robert Trl
City
Rosemount
State
Minnesota
Zip
55068-3108
Phone Number
952-423-2288
Fax Number
952-423-2203
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
D11236 (Minnesota)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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