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Organization

GROUP HEALTH, INC.

Active
Other names
HealthPartners Como Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ALITA RISINGER (SR VICE PRESIDENT, CFO)
(952) 883-5401
Entity
Organization

Contact information

Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(651) 641-0020
(651) 632-8984
Mailing address
8170 33RD AVE S, MAILSTOP 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-5151
(952) 883-5160

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223P0300X
Periodontics
1223P0700X
Prosthodontics
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4387155-00
MN
Enumeration date
01/24/2007
Last updated
08/14/2026
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