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Organization
ANGELL FAMILY DENTISTRY, P.A.
Active
Organization
ANGELL FAMILY DENTISTRY, P.A.
Active
Other names
Angell Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W ANGELL DDS (PRESIDENT)
(763) 788-2215
Entity
Organization
Contact information
Practice address
423 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3719
(763) 788-2215
(763) 788-1199
Mailing address
423 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3719
(763) 788-2215
(763) 788-1199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00552AN
BLUE CROSS/BLUE SHIELD
MN
01
—
7130180-00
MEDICAL ASSISTANCE
MN
01
—
824317
UNITED CONCORDIA
MN
01
—
9927
DORAL
MN
Enumeration date
04/17/2008
Last updated
03/07/2023
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