Champlin Family Dental Pa is a Dental Clinic in Champlin, Minnesota. It is located at 12233 Champlin Drive, Champlin, MN and its contact number is 763-323-0678. The authorized person for Champlin Family Dental Pa is Dr. Krista Susan Bauer
who is Dentist of the clinic and their contact number is 763-323-0678. The primary license number for Champlin Family Dental Pa is 9624 (General Practice) in Minnesota. Champlin Family Dental Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Champlin Family Dental Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Champlin Family Dental Pa
Specialization:
General Practice Dentistry
Clinic Address:
12233 Champlin Drive, Champlin, Minnesota, 55316
Phone:
763-323-0678
Fax:
763-323-9102
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. Krista Susan Bauer
Position:
Dentist
Contact Number:
763-323-0678
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 Champlin Family Dental Pa clinic are as mentioned below.
NPI Number:
1992818751
NPI Enumeration Date:
16 Aug, 2006
NPI Last Update On:
22 Apr, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Champlin Family Dental Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
9624
Minnesota
Primary
General Practice
11195
Minnesota
Secondary
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
624020800
Other
Minnesota
Medical Assistance Tax
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Champlin Family Dental Pa 12233 Champlin Drive, Champlin, Minnesota
Zip:
55316
Phone Number:
763-323-0678
Fax Number:
763-323-9102
Patients can reach Champlin Family Dental Pa at 12233 Champlin Drive, Champlin, Minnesota or can call to book an appointment on 763-323-0678. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.