BUFFALO DENTAL GROUP PA NPI 1003004334

Dentist in Buffalo, MN

About BUFFALO DENTAL GROUP PA

Buffalo Dental Group Pa is a provider in Buffalo, MN. The NPI number assigned to this provider is 1003004334. The practitioner's primary taxonomy code is Dentist (122300000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Buffalo Dental Group Pa operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003004334 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameBUFFALO DENTAL GROUP PA
Provider Location Address1000 HIGHWAY 25 SOUTH BUFFALO, MN 55313 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1000 HIGHWAY 25 SOUTH BUFFALO, MN 55313 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-11-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

BUFFALO DENTAL GROUP PA
1000 HIGHWAY 25 SOUTH
BUFFALO, MN
ZIP 55313
Phone: (763) 682-2363
Fax: (763) 682-3706
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Mailing Address

BUFFALO DENTAL GROUP PA
1000 HIGHWAY 25 SOUTH
BUFFALO, MN
ZIP 55313
Phone: (763) 682-2363
Fax: (763) 682-3706

Primary Taxonomy

Taxonomy Code122300000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
License StateMN
Taxonomy DescriptionA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Authorized Official

Authorized Official Name MARK T POKORNEY DDS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(763) 682-2363

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


BUFFALO DENTAL GROUP PA address is 1000 HIGHWAY 25 SOUTH BUFFALO, MN 55313

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265597058MR. MARK T POKORNEY DDS
Individual
Dentist1000 HIGHWAY 25 SOUTH
BUFFALO, MN 55313
(763) 682-2363
1285784090MR. THOMAS JOSEPH KUZMA SR. DDS
Individual
Dentist1000 HIGHWAY 25 SOUTH
BUFFALO, MN 55313
(763) 682-2363
1306819727 JOSEPH JACOB KUZMA II DDS
Individual
Dentist1000 HIGHWAY 25 SOUTH
BUFFALO, MD 55313
(763) 682-2363
1437214228MR. LEONARD STEPHEN LYNCH DDS
Individual
Dentist1000 HIGHWAY 25 SOUTH
BUFFALO, MN 55313
(763) 682-2363