Individual
DR. SCOTT RAYMOND NORTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8414 FILLMORE ST NE, NORTHEY DENTAL INC, SPRING LAKE PARK, MN 55432-1266
(763) 496-0284
(763) 496-0282
Mailing address
3516 PINTO DR, MEDINA, MN 55340-9608
(763) 496-0284
(763) 496-0282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8470
MN
Other
Enumeration date
04/24/2006
Last updated
08/27/2009
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