Organization
SHAKOPEE VALLEY FAMILY DENTAL CARE, P.A.
Active
Other names
Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN CHARLES PERRY DDS (OWNER)
(952) 445-5510
Entity
Organization
Contact information
Practice address
415 1ST AVE E, SHAKOPEE, MN 55379-1439
(952) 445-5510
(952) 496-9728
Mailing address
415 1ST AVE E, SHAKOPEE, MN 55379-1439
(952) 445-5510
(952) 496-9728
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8975
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659332252
TYPE I NPI NUMBER
MN
Enumeration date
12/21/2008
Last updated
12/21/2008
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