DENTAL CENTER OF AMERICA PC NPI 1972778561

NPI Information

NPI: 1972778561
Provider Name: DENTAL CENTER OF AMERICA, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1521 NORTHWAY DR
SUITE 102
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 229-2205
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DENTAL CENTER OF AMERICA, PC is a dental clinic center in Saint Cloud, MN. DENTAL CENTER OF AMERICA, PC NPI is 1972778561. The provider is registered as an organization entity type.

The provider's business location address is:

1521 NORTHWAY DR
SUITE 102
SAINT CLOUD, MN
ZIP 56303-489
Phone: (320) 229-2205
Fax: (320) 229-2207

The provider's authorized official is Mohamed Hammam .
The authorized official title is President and has the following contact phone number (320) 229-2205.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 4/24/2008.

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	D12186	MINNESOTA	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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