# SHAKOPEE VALLEY FAMILY DENTAL CARE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295971299
- **Authorized official:** DR. ALAN CHARLES PERRY DDS (OWNER)
- **Authorized official phone:** (952) 445-5510

## Contact information

- **Practice address:** 415 1ST AVE E, SHAKOPEE, MN 55379-1439
- **Practice address phone:** (952) 445-5510
- **Practice address fax:** (952) 496-9728
- **Mailing address:** 415 1ST AVE E, SHAKOPEE, MN 55379-1439
- **Mailing address phone:** (952) 445-5510
- **Mailing address fax:** (952) 496-9728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 8975 | MN | Yes |

## Other

- **Enumeration date:** 12/21/2008
- **Last updated:** 12/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1659332252 | TYPE I NPI NUMBER | MN |