Healthcare Provider Details

I. General information

NPI: 1457576969
Provider Name (Legal Business Name): DR JOSEPH R STYLES /CURTIS F COTTON PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 E MINNESOTA ST
SAINT JOSEPH MN
56374-8618
US

IV. Provider business mailing address

1514 E MINNESOTA ST PO BOX 607
SAINT JOSEPH MN
56374-8618
US

V. Phone/Fax

Practice location:
  • Phone: 320-363-7729
  • Fax: 320-363-0308
Mailing address:
  • Phone: 320-363-7729
  • Fax: 320-363-0308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CURTIS F COTTON
Title or Position: VP
Credential: D.D.S.
Phone: 320-363-7729