Organization
EAGAN DENTAL ASSOCIATES DBA NORTHWOOD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN JEFFREY TAPLE DDS (DDS/OWNER)
(651) 687-0789
Entity
Organization
Contact information
Practice address
1227 NORTHWOOD PKWY, EAGAN, MN 55121-4204
(651) 687-0789
(651) 687-0902
Mailing address
1227 NORTHWOOD PKWY, EAGAN, MN 55121-4204
(651) 687-0789
(651) 687-0902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891749362
—
MN
05
—
405522500
—
MN
05
—
565522600
—
MN
Enumeration date
05/20/2006
Last updated
06/24/2008
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