Blaine Kidds Pediatric Dentistry Pllc is a Pediatric Dental Clinic in Blaine, Minnesota. It is located at 1351 113th Ave Ne, Blaine, MN and its contact number is 651-324-4270. The authorized person for Blaine Kidds Pediatric Dentistry Pllc is Dr. Darcy J Rindelaub
who is Owner of the clinic and their contact number is 651-324-4270. The primary license number for Blaine Kidds Pediatric Dentistry Pllc is D11365 (Pediatric Dentistry) in Minnesota. Blaine Kidds Pediatric Dentistry Pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Blaine Kidds Pediatric Dentistry Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Blaine Kidds Pediatric Dentistry Pllc
Specialization:
Pediatric Dentistry
Clinic Address:
1351 113th Ave Ne, Blaine, Minnesota, 55434-3874
Phone:
651-324-4270
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Darcy J Rindelaub
Position:
Owner
Contact Number:
651-324-4270
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Blaine Kidds Pediatric Dentistry Pllc clinic are as mentioned below.
NPI Number:
1538678057
NPI Enumeration Date:
27 Sep, 2017
NPI Last Update On:
27 Sep, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blaine Kidds Pediatric Dentistry Pllc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
D11365
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
122648700
Medicaid
Minnesota
1639126683
Other
Provider Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Blaine Kidds Pediatric Dentistry Pllc 400 2nd St S Ste 250, Hudson, Wisconsin
Zip:
54016-1599
Phone Number:
715-808-0460
Patients can reach Blaine Kidds Pediatric Dentistry Pllc at 1351 113th Ave Ne, Blaine, Minnesota or can call to book an appointment on 651-324-4270. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.