Oak Ridge Dental, Llc

NPI 1225104458 - Dentist - 1223G0001X

NPI Details
NPI 1225104458
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY J JEFFREY
Position CO-OWNER
Phone (952) 435-0355
Fax (952) 435-0390
Practice Location
625 E NICOLLET BLVD
SUITE 310
BURNSVILLE MN, 55337-6734, US
Phone (952) 435-0355
Fax (952) 435-0390
Business Location
625 E NICOLLET BLVD
SUITE 310
BURNSVILLE MN, 55337-6734, US
Phone (952) 435-0355
Fax (952) 435-0390
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D11326
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According to our database, Oak Ridge Dental, Llc NPI is 1225104458, taxonomy code is 1223G0001X and license number is D11326, license state is located at Minnesota. Oak Ridge Dental, Llc physically located at 625 E Nicollet Blvd, Burnsville MN, 55337-6734. NPI Number 1033115704 has the healthcare provider type.

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1225104458 NPI number is provided on an as is basis without warranty of any kind. 1225104458 is maintained by the National Plan & Provider Enumeration System. The contents of Oak Ridge Dental, Llc are for informational purposes only.