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Maple Grove Family Dental Clinic, Pa
General Practice Dentistry in Maple Grove, Minnesota
NPI 1922181197

Maple Grove Family Dental Clinic, Pa is a General Practice Dentistry based in Maple Grove, MN and is specialized in General Practice. Maple Grove Family Dental Clinic, Pa practices in Maple Grove, MN. The NPI Number for Maple Grove Family Dental Clinic, Pa is 1922181197 and holds a License No. 9790 (Minnesota).

The current practice location address for Maple Grove Family Dental Clinic, Pa is 12000 Elm Creek Blvd N, Maple Grove, MN and can be reached out via phone at 763-420-4421 and via fax at 763-420-5674.

Location: 12000 Elm Creek Blvd N, Maple Grove, MN, 55369-7073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922181197
Provider Name
Maple Grove Family Dental Clinic, Pa
Credential
Provider Entity Type
Organization
Address
12000 Elm Creek Blvd N, Maple Grove, MN, 55369-7073
Phone Number
763-420-4421
Fax Number
763-420-5674
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10656 01 MN BLUECROSSBLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12000 Elm Creek Blvd N
City
Maple Grove
State
Minnesota
Zip
55369-7073
Phone Number
763-420-4421
Fax Number
763-420-5674
person
Provider Business Mailing Address Details
Address
12000 Elm Creek Blvd N
City
Maple Grove
State
Minnesota
Zip
55369-7073
Phone Number
763-420-4421
Fax Number
763-420-5674
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9790 (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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