Organization
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Active
Parent organization
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY & COSMETIC GENTLE DENTISTRY, LTD
Authorized official
DIANA GAVIC (OPERATIONS MANAGER)
(952) 224-9771
Entity
Organization
Contact information
Practice address
5001 WINNETKA AVE N, NEW HOPE, MN 55428-4230
(763) 533-0055
(763) 533-0057
Mailing address
6600 FRANCE AVE S STE 415, EDINA, MN 55435-1817
(952) 224-9771
(952) 224-9790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236129900
—
MN
Enumeration date
11/27/2007
Last updated
06/20/2008
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