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MINNESOTA STATE COMMUNITY AND TECHNICAL COLLEGE - DENTAL
NPI 1518027754
Dentist - Dental Public Health in Moorhead, MN

Active since December 11, 2006
1900 28TH AVE S, MOORHEAD, MN 56560(218) 299-6560(218) 299-6532 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Minnesota State Community And Technical College - Dental NPPES

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

MINNESOTA STATE COMMUNITY AND TECHNICAL COLLEGE - DENTAL (NPI 1518027754) is a healthcare organization registered as a dental public health in Moorhead, Minnesota and active in the NPI registry since December 2006. The organization lists Thomas L Boe, Director Dental Departmen, as its authorized official.

NPPES Registry Identity

NPI1518027754
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameMINNESOTA STATE COMMUNITY AND TECHNICAL COLLEGE - DENTAL
Location Address1900 28TH AVE SMoorhead, MN 56560-4830
Mailing Address1900 28th Ave SMoorhead, MN 56560-4830 · (218) 299-6560 · Fax (218) 299-6532
Phone(218) 299-6560
Fax(218) 299-6532
Organization SubpartNo
Authorized OfficialThomas L BoeDirector Dental Departmen · (218) 299-6819
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1518027754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
1900 28TH AVE S, Moorhead, MN 56560
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Other Identifiers 1

Medicaid041211ND

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS LURA BOE DDS
Dentist
1900 28TH AVE S
MOORHEAD, MN 56560
Clay County (218) 299-6819
MSCTC COMMUNITY DENTAL CLINIC
Dentist (Dental Public Health)
1900 28TH AVE S
MOORHEAD, MN 56560
Clay County (218) 299-6819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota State Community And Technical College - Dental's NPI number?

The NPI number for Minnesota State Community And Technical College - Dental is 1518027754. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Minnesota State Community And Technical College - Dental located?

Minnesota State Community And Technical College - Dental is located at 1900 28th Ave S, Moorhead, MN 56560. The listed phone number is (218) 299-6560.

What is Minnesota State Community And Technical College - Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Minnesota State Community And Technical College - Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.