Organization
EXCELSIOR FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN W SCOTT DDS (DENTIST)
(952) 474-6515
Entity
Organization
Contact information
Practice address
348 2ND ST, SUITE 200, EXCELSIOR, MN 55331-1830
(952) 474-6515
(952) 474-1206
Mailing address
348 2ND ST, SUITE 200, EXCELSIOR, MN 55331-1830
(952) 474-6515
(952) 474-1206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26203-LLC
MN
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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