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MINNESOTA VETERANS HOMES DENTAL CLINIC
NPI 1407662653
Dentist - General Practice in Montevideo, MN

Active since December 03, 2024
2190 WILLIAM AVE, MONTEVIDEO, MN 56265(651) 396-6260 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Minnesota Veterans Homes Dental Clinic NPPES

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

MINNESOTA VETERANS HOMES DENTAL CLINIC (NPI 1407662653) is a healthcare organization registered as a general practice in Montevideo, Minnesota and active in the NPI registry since December 2024. The organization lists Simone Renee Hogan, Mdva Chief Operations Director, as its authorized official.Information from the official NPPES registry record, last updated December 3, 2024.

NPPES Registry Identity

NPI1407662653
Entity TypeOrganization
Legal Business NameSTATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET
Location Address2190 WILLIAM AVEMontevideo, MN 56265-2273
Mailing Address5101 Minnehaha Ave Bldg 10Minneapolis, MN 55417-1647
Phone(651) 396-6260
Organization SubpartYes
Authorized OfficialSimone Renee HoganMdva Chief Operations Director · (612) 505-4110
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1407662653 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Dentist · General Practice

Taxonomy 1223G0001X · Dental Providers

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… Show more

2190 WILLIAM AVE, Montevideo, MN 56265
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Also on File with NPPES

Other Names1
Minnesota Veterans Homes Dental Clinic (Doing Business As)

Reviews for MINNESOTA VETERANS HOMES DENTAL CLINIC

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Frequently Asked Questions

What is STATE OF MINNESOTA - MINNESOTA MANAGEMENT AND BUDGET's NPI number?

The NPI number assigned to this healthcare provider is 1407662653, enumerated as an "organization" on December 03, 2024.

Where is the provider located?

The provider is located at 2190 WILLIAM AVE MONTEVIDEO, MN 56265 and the phone number is (651) 396-6260.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.