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NPI Code Detail

MEDICARE: HENNEPIN COUNTY

MEDICARE: HENNEPIN COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1205113560
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENNEPIN COUNTY
Provider Business Mailing Address
First Line : 2220 PLYMOUTH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-3600
Country : US
Telephone Number : 612-543-2500
Fax Number : 312-302-4870
Provider Business Practice Location Address
First Line : 2220 PLYMOUTH AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-3600
Country : US
Telephone Number : 612-543-2500
Fax Number : 312-302-4870
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : BAYE D DIOUF
Credential :
Telephone Number : 612-543-2545
Provider Enumeration Date : 11/14/2011
Last Update Date : 03/27/2025

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Directions to “HENNEPIN COUNTY ” Practice Location

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