is a Dental Clinic in Coon Rapids, Minnesota. It is located at 11475 Robinson Dr Nw, Coon Rapids, MN and its contact number is 763-754-0041. The authorized person for is Kathleen M Cooney
who is Cao of the clinic and their contact number is 952-883-7565. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
11475 Robinson Dr Nw, Coon Rapids, Minnesota, 55433-3746
Phone:
763-754-0041
Fax:
763-754-4506
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:
Kathleen M Cooney
Position:
Cao
Contact Number:
952-883-7565
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 clinic are as mentioned below.
NPI Number:
1184779811
NPI Enumeration Date:
24 Jan, 2007
NPI Last Update On:
18 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
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
5177171-00
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:
8100 34th Ave S, 21113a Bloomington, Minnesota
Zip:
55425-1672
Phone Number:
952-883-5151
Fax Number:
952-883-5160
Patients can reach at 11475 Robinson Dr Nw, Coon Rapids, Minnesota or can call to book an appointment on 763-754-0041. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.