Organization
PL DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG VINH LY DDS (OWNER)
(763) 317-1168
Entity
Organization
Contact information
Practice address
12628 FREMONT AVE, ZIMMERMAN, MN 55398-9735
(833) 217-5959
Mailing address
9920 FOLEY BLVD NW STE 110, COON RAPIDS, MN 55433-5216
(633) 171-1667
(763) 317-1167
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790131791
—
MN
Enumeration date
03/16/2022
Last updated
05/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us