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Organization
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Active
Organization
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Active
Other names
The Dental Specialists Rosemount
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HESSE (CREDENTIALING SPECIALIST)
(651) 746-2815
Entity
Organization
Contact information
Practice address
15015 CIMARRON AVE, ROSEMOUNT, MN 55068-2771
(952) 926-2835
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(651) 746-2815
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/28/2020
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