METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD - NPI 1083763023

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

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About Metropolitan Pediatric Dental Associates, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD (NPI 1083763023) is a healthcare organization registered as a pediatric dentistry in North Oaks, Minnesota and active in the NPI registry since January 2007. The organization lists James D Nickman, President, as its authorized official.

NPPES Registry Identity

NPI1083763023

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMETROPOLITAN PEDIATRIC DENTAL ASSOCIATES, LTD

Location Address700 VILLAGE CENTER DR, SUITE 110North Oaks, MN 55127-3019

Mailing Address700 Village Center Dr, Suite 110North Oaks, MN 55127-3019 · (651) 484-8611 · Fax (651) 224-4969

Phone(651) 484-8611

Fax(651) 224-4969

Organization SubpartYes

Authorized OfficialJames D NickmanPresident · (651) 224-4969

Enumeration DateJanuary 9, 2007

Last NPPES UpdateOctober 5, 2016

✔ NPI 1083763023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

700 VILLAGE CENTER DR, North Oaks, MN 55127

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Group Practice 1

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