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Mahtomedi Family Dental
General Practice Dentistry in Mahtomedi, Minnesota
NPI 1720415896

Mahtomedi Family Dental is a General Practice Dentistry based in Mahtomedi, MN and is specialized in General Practice. Mahtomedi Family Dental practices in Mahtomedi, MN. The NPI Number for Mahtomedi Family Dental is 1720415896 and holds a License No. D7721 (Minnesota).

The current practice location address for Mahtomedi Family Dental is 814 Mahtomedi Ave, Mahtomedi, MN and can be reached out via phone at 651-426-0011.

Location: 814 Mahtomedi Ave, Mahtomedi, MN, 55115-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720415896
Provider Name
Mahtomedi Family Dental
Credential
Provider Entity Type
Organization
Address
814 Mahtomedi Ave, Mahtomedi, MN, 55115-1730
Phone Number
651-426-0011
Fax Number
Provider Enumeration Date
10/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811212624 05 MN
institution
Provider Business Practice Location Address Details
Address
814 Mahtomedi Ave
City
Mahtomedi
State
Minnesota
Zip
55115-1730
Phone Number
651-426-0011
Fax Number
person
Provider Business Mailing Address Details
Address
814 Mahtomedi Ave
City
Mahtomedi
State
Minnesota
Zip
55115-1730
Phone Number
651-426-0011
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D7721 (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.
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