Organization
GROUP HEALTH PLAN INC
Active
Other names
HealthPartners Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BJORKMAN (DIRECTOR PROVIDER ENROLLMENT)
(952) 883-7469
Entity
Organization
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8300
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-5155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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