Moore Lake Dental

  • 1386035590 NPI Number
  • |
  • Actived: 9 years ago
  • |
Moore Lake Dental is a health care provider based in Fridley, MN. The NPI Number is 1386035590 and it has been active since 9 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, Moore Lake Dental is an excellent option. We are here to help you get the care you need.

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Overview of Moore Lake Dental

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/10/2015
  • Last updated: 02/10/2015

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: D10520
  • License State: MN

Provider Mailing Address

  • Address: 6230 Highway 65 Ne
    Suite 105
    Fridley, MN 55432
  • Phone: 763-571-5497
  • Fax:

Provider Practice Location

  • Address: 6230 Highway 65 Ne
    Suite 105
    Fridley, MN 55432
  • Phone: 763-571-5497
  • Fax:

Authorized Official

  • Name: DR. Lisa Murray Perez D.D.S.
  • Position/Title: Owner
  • Telephone Number: 612-414-2182

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: D10520
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Moore Lake Dental?
  • A: The npi number for Moore Lake Dental is 1386035590.
  • Q: What are Moore Lake Dental's specialties?
  • A: Moore Lake Dental's specialties are Dentist and different specialities.
  • Q: Where is Moore Lake Dental business practice location?
  • A: Moore Lake Dental business practice location is 6230 Highway 65 Ne, Fridley, MN 55432.
  • Q: How to contact Moore Lake Dental?
  • A: You can contact Moore Lake Dental via 763-571-5497.
  • Q: What is the authorized official for Moore Lake Dental?
  • A: The authorized office name is DR. Lisa Murray Perez D.D.S. with position/title is Owner and you can reach the authorized official via phone number 6124142182.
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