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Community Dental Care
Point of Service in Maplewood, Minnesota
NPI 1992102040

Community Dental Care is a Point of Service based in Maplewood, MN. Community Dental Care practices in Maplewood, MN. The NPI Number for Community Dental Care is 1992102040 and holds a License No. H9154 (Minnesota).

The current practice location address for Community Dental Care is 1670 Beam Ave, Maplewood, MN and can be reached out via phone at 651-925-8400.

Location: 1670 Beam Ave, Maplewood, MN, 55109-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992102040
Provider Name
Community Dental Care
Credential
Provider Entity Type
Organization
Address
1670 Beam Ave, Maplewood, MN, 55109-1201
Phone Number
651-925-8400
Fax Number
Provider Enumeration Date
12/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124Q00000X 05 MN
institution
Provider Business Practice Location Address Details
Address
1670 Beam Ave
City
Maplewood
State
Minnesota
Zip
55109-1201
Phone Number
651-925-8400
Fax Number
person
Provider Business Mailing Address Details
Address
1670 Beam Ave
City
Maplewood
State
Minnesota
Zip
55109-1201
Phone Number
651-925-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
H9154 (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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