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Organization
GROUP HEALTH, INC.
Active
Organization
GROUP HEALTH, INC.
Active
Other names
HealthPartners Plymouth Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALITA RISINGER (SR VICE PRESIDENT, CFO)
(952) 883-5401
Entity
Organization
Contact information
Practice address
4155 COUNTY RD 101 N, PLYMOUTH, MN 55446-2308
(952) 977-3000
Mailing address
8170 33RD AVE S, MAILSTOP 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12465
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12245
MN
Other
Enumeration date
10/06/2014
Last updated
08/14/2026
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