| The Dental Specialists | |
|
12180 Business Park Blvd N Champlin MN 55316-4525 | |
| (763) 421-5206 | |
| (763) 421-8320 |
| Full Name | The Dental Specialists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12180 Business Park Blvd N, Champlin, Minnesota |
| Authorized Official Name and Position | Alan Law (PRESIDENT) |
| Authorized Official Contact | 6516330500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Specialists 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 633-0500 | The Dental Specialists 12180 Business Park Blvd N Champlin MN 55316-4525 Ph: (763) 421-5206 |
| NPI Number | 1619382876 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619382876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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