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Organization

REGENTS OF THE UNIVERSITY OF MINNESOTA

Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
University of Minnesota School of Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
KEITH MAYS DDS, MS, PHD (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 624-2424
Entity
Organization

Contact information

Practice address
515 DELAWARE ST SE, 7-530 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 626-6529
(612) 625-4610
Mailing address
515 DELAWARE ST SE, 7-220 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 624-2424
(612) 625-4610

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223X2210X
Orofacial Pain Dentistry
225100000X
Physical Therapist
231H00000X
Audiologist
235Z00000X
Speech-Language Pathologist
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107553500
MN
Enumeration date
10/09/2006
Last updated
06/24/2024
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