Community Dental Care Inc is a Dental Clinic in St. Paul, Minnesota. It is located at 828 Hawthorne Ave E, St. Paul, MN and its contact number is 651-774-2959. The authorized person for Community Dental Care Inc is Dr. Vacharee Peterson
who is Ceo of the clinic and their contact number is 651-925-8400. The primary license number for Community Dental Care Inc is 460668000 (Dentist) in Minnesota. Community Dental Care Inc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Community Dental Care Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Community Dental Care Inc
Specialization:
Dentistry
Clinic Address:
828 Hawthorne Ave E, St. Paul, Minnesota, 55106
Phone:
651-774-2959
Fax:
651-774-1997
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. Vacharee Peterson
Position:
Ceo
Contact Number:
651-925-8400
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 Community Dental Care Inc clinic are as mentioned below.
NPI Number:
1003886383
NPI Enumeration Date:
26 Jan, 2006
NPI Last Update On:
25 Jun, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Community Dental Care Inc are as mentioned below.
Specialization
License Number
State
Status
Dentist
460668000
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
460668000
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Community Dental Care Inc 1670 Beam Ave, Maplewood, Minnesota
Zip:
55109
Phone Number:
651-925-8400
Fax Number:
651-925-8439
Patients can reach Community Dental Care Inc at 828 Hawthorne Ave E, St. Paul, Minnesota or can call to book an appointment on 651-774-2959. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.