AMHERST H. WILDER FOUNDATION NPI 1407914674

NPI Information

NPI: 1407914674
Provider Name: AMHERST H. WILDER FOUNDATION

Doing Business As: WILDER SENIOR DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
516 HUMBOLDT AVE
SAINT PAUL, MN
ZIP 55107
Phone: (651) 220-1807
Get Directions

AMHERST H. WILDER FOUNDATION is a dental clinic center in Saint Paul, MN. AMHERST H. WILDER FOUNDATION NPI is 1407914674. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilder Senior Dental Clinic.

The provider's business location address is:

516 HUMBOLDT AVE
SAINT PAUL, MN
ZIP 55107
Phone: (651) 220-1807

The provider's authorized official is Craig Binger .
The authorized official title is Vice President Administration and has the following contact phone number (651) 642-4000.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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