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Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
Boynton Health Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
KARLA SCHARDIN (SENIOR DIRECTOR OF OPERATIONS)
(612) 624-8400
Entity
Organization
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-9998
(612) 625-0539
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-9998
(612) 625-0539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322012500
—
MN
Enumeration date
04/27/2007
Last updated
07/24/2025
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