Organization
GROUP HEALTH, INC.
Active
Other names
HealthPartners West 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
5100 GAMBLE DR, STE 100, ST LOUIS PARK, MN 55416-1521
(952) 593-0779
(952) 595-6451
Mailing address
8170 33RD AVE S, MAILSTOP 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-5151
(952) 883-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2477181-00
—
MN
Enumeration date
01/25/2007
Last updated
08/14/2026
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