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NPI Code Detail

MEDICARE: MINNEAPOLIS DENTAL ASSOCIATES, PLLC

MEDICARE: MINNEAPOLIS DENTAL ASSOCIATES, PLLC
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/CenterD12019MN

General Provider Information

NPI Number : 1285902114
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINNEAPOLIS DENTAL ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 2221 UNIVERSITY AVE SE
Second Line : SUITE 119
City : MINNEAPOLIS
State : MN
Zip : 55414-3063
Country : US
Telephone Number : 612-378-1909
Fax Number :
Provider Business Practice Location Address
First Line : 2221 UNIVERSITY AVE SE
Second Line : SUITE 119
City : MINNEAPOLIS
State : MN
Zip : 55414-3063
Country : US
Telephone Number : 612-378-1909
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SHERIF SAID
Credential : BDS
Telephone Number : 612-378-1909
Provider Enumeration Date : 12/07/2011
Last Update Date : 12/07/2011

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Directions to “MINNEAPOLIS DENTAL ASSOCIATES, PLLC ” Practice Location

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