STONE GATE DENTAL ASSOCIATES INC. NPI 1639733389

NPI Information

NPI: 1639733389
Provider Name: STONE GATE DENTAL ASSOCIATES INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1521 NORTHWAY DR STE 108
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 250-5540
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STONE GATE DENTAL ASSOCIATES INC. is a dental clinic center in Saint Cloud, MN. STONE GATE DENTAL ASSOCIATES INC. NPI is 1639733389. The provider is registered as an organization entity type.

The provider's business location address is:

1521 NORTHWAY DR STE 108
SAINT CLOUD, MN
ZIP 56303-490
Phone: (320) 250-5540

The provider's authorized official is John Michael Collier .
The authorized official title is Owner and has the following contact phone number (320) 250-5540.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 4/29/2019.

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

NPI Synchronization or Removal

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