CLD - RICHFIELD MN LLC NPI 1932956919

NPI Information

  • NPI: 1932956919
  • Provider Name: CLD - RICHFIELD MN, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 704 W 66TH ST
    RICHFIELD, MN
    ZIP 55423
  • Phone: (612) 915-0015

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NPI Details

CLD - RICHFIELD MN, LLC is a dental clinic center in Richfield, MN. CLD - RICHFIELD MN, LLC NPI is 1932956919. The provider is registered as an organization entity type.

The provider's business location address is:

704 W 66TH ST
RICHFIELD, MN
ZIP 55423-203
Phone: (612) 915-0015
Fax: (612) 915-0015

The provider's authorized official is David Park .
The authorized official title is Ceo/president/owner and has the following contact phone number (651) 444-9644.

The enumeration date for this NPI number is 5/6/2024 and was last updated on 5/6/2024.

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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