SRA DDS NPI 1326649575

NPI Information

  • NPI: 1326649575
  • Provider Name: SRA DDS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 33 E CHAPMAN ST
    ELY, MN
    ZIP 55731
  • Phone: (218) 365-3194

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NPI Details

SRA DDS is a dental clinic center in Ely, MN. SRA DDS NPI is 1326649575. The provider is registered as an organization entity type.

The provider's business location address is:

33 E CHAPMAN ST
ELY, MN
ZIP 55731-227
Phone: (218) 365-3194
Fax: (218) 365-5613

The provider's authorized official is Scott Robert Anderson .
The authorized official title is Owner and has the following contact phone number (218) 365-3194.

The enumeration date for this NPI number is 11/4/2020 and was last updated on 11/4/2020.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

NPI Synchronization or Removal

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