Organization
GROUP HEALTH PLAN INC
Active
Other names
HealthPartners Como Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M COONEY (CAO)
(952) 883-7565
Entity
Organization
Contact information
Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(651) 641-0020
(651) 632-8984
Mailing address
8100 34TH AVE S, 21113A, BLOOMINGTON, MN 55425-1672
(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
Enumeration date
01/24/2007
Last updated
09/11/2025
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