BIRCH LAKE DENTAL PA
NPI 1083853113
Dentist - General Practice in White Bear Lake, MN
- Organization
- Dentist
- General Practice
About BIRCH LAKE DENTAL PA
This page provides the complete NPI Profile along with additional information for Birch Lake Dental Pa, a provider established in White Bear Lake, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1083853113 assigned on February 2009. The practitioner's primary taxonomy code is 1223G0001X with license number D10949MN (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. Birch Lake Dental Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Geetha J Damodaran D.d.s. (Owner)
- NPI
- 1083853113 Verify this NPI
- Provider Name
- BIRCH LAKE DENTAL PA
- Entity Type
- Organization
- Location Address
- 2641 WHITE BEAR PARKWAY WHITE BEAR LAKE, MN 55110
- Location Phone
- (651) 429-0404
- Location Fax
- (651) 429-0472
- Mailing Address
- 2641 WHITE BEAR PARKWAY WHITE BEAR LAKE, MN 55110
- Mailing Phone
- (651) 429-0404
- Mailing Fax
- (651) 429-0472
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-12-2009
- Last Update Date
- 02-12-2009
- Code Navigator
A dentist like Birch Lake Dental Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- D10949MN
- License State
- MN
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | 7712MN (MN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083853113, enumerated as an "organization" on February 12, 2009.
The provider is located at 2641 WHITE BEAR PARKWAY WHITE BEAR LAKE, MN 55110 and the phone number is (651) 429-0404.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
