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NPI Code Detail

MEDICARE: WELLSPRING DENTAL HEALTH

MEDICARE: WELLSPRING DENTAL HEALTH
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
1122300000XDentist

General Provider Information

NPI Number : 1558218537
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLSPRING DENTAL HEALTH
Provider Business Mailing Address
First Line : 7701 YORK AVE S STE 140
Second Line :
City : EDINA
State : MN
Zip : 55435-5845
Country : US
Telephone Number : 952-956-6700
Fax Number :
Provider Business Practice Location Address
First Line : 7701 YORK AVE S STE 140
Second Line :
City : EDINA
State : MN
Zip : 55435-5845
Country : US
Telephone Number : 952-956-6700
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. WHITNEY HUSTAD DAVIDSON
Credential : DDS
Telephone Number : 952-956-6700
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “WELLSPRING DENTAL HEALTH ” Practice Location

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