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Champlin Family Dental Pa
General Practice Dentistry in Champlin, Minnesota
NPI 1992818751

Champlin Family Dental Pa is a General Practice Dentistry based in Champlin, MN and is specialized in General Practice. Champlin Family Dental Pa practices in Champlin, MN. The NPI Number for Champlin Family Dental Pa is 1992818751 and holds a License No. 9624 (Minnesota).

The current practice location address for Champlin Family Dental Pa is 12233 Champlin Drive, Champlin, MN and can be reached out via phone at 763-323-0678 and via fax at 763-323-9102.

Location: 12233 Champlin Drive, Champlin, MN, 55316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992818751
Provider Name
Champlin Family Dental Pa
Credential
Provider Entity Type
Organization
Address
12233 Champlin Drive, Champlin, MN, 55316
Phone Number
763-323-0678
Fax Number
763-323-9102
Provider Enumeration Date
08/16/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
624020800 01 MN MEDICAL ASSISTANCE TAX
institution
Provider Business Practice Location Address Details
Address
12233 Champlin Drive
City
Champlin
State
Minnesota
Zip
55316
Phone Number
763-323-0678
Fax Number
763-323-9102
person
Provider Business Mailing Address Details
Address
12233 Champlin Drive
City
Champlin
State
Minnesota
Zip
55316
Phone Number
763-323-0678
Fax Number
763-323-9102
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9624 (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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