TODAY'S DENTAL ST.CLOUD SC - NPI 1174913339 - Point of Service in Brooklyn Park, MN

Q: What is the provider's specialty?

The provider's specialty is Point of Service with taxonomy code 305S00000X.

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About Today's Dental St.cloud Sc NPPES

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

TODAY'S DENTAL ST.CLOUD SC (NPI 1174913339) is a healthcare organization registered as a point of service in Brooklyn Park, Minnesota and active in the NPI registry since January 2015. The organization lists Crystal Roehlke, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174913339

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameTODAY'S DENTAL ST.CLOUD SC

Location Address7960 BROOKLYN BLVDBrooklyn Park, MN 55445-2722

Mailing Address4128 2nd St SSaint Cloud, MN 56301-3704 · (320) 774-2557 · Fax (763) 710-9968

Phone(763) 710-9937

Fax(763) 710-9968

Organization SubpartNo

Authorized OfficialCrystal RoehlkeOffice Manager · (320) 774-2557

Enumeration DateJanuary 27, 2015

Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2020

✔ NPI 1174913339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in MN · D12960

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

7960 BROOKLYN BLVD, Brooklyn Park, MN 55445

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