Maple Grove Family Dental Clinic, Pa is a Dental Clinic in Maple Grove, Minnesota. It is located at 12000 Elm Creek Blvd N, Suite #220, Maple Grove, MN and its contact number is 763-420-4421. The authorized person for Maple Grove Family Dental Clinic, Pa is Ms. Susan M. Larson
who is Clinic Administrator of the clinic and their contact number is 763-420-4421. Other organizations associated with this clinic are Maple Grove Periodontics And Implant Dentistry, Maple Grove Family Dental Clinic, Pa, The primary license number for Maple Grove Family Dental Clinic, Pa is D11341 (General Practice) in Minnesota. Maple Grove Family Dental Clinic, 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:
Maple Grove Family Dental Clinic, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Maple Grove Family Dental Clinic, Pa
Specialization:
General Practice Dentistry
Clinic Address:
12000 Elm Creek Blvd N, Suite #220, Maple Grove, Minnesota, 55369-7073
Phone:
763-420-4421
Fax:
763-420-5674
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:
Ms. Susan M. Larson
Position:
Clinic Administrator
Contact Number:
763-420-4421
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 Maple Grove Family Dental Clinic, Pa clinic are as mentioned below.
NPI Number:
1922181197
NPI Enumeration Date:
23 Oct, 2006
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Maple Grove Periodontics And Implant Dentistry
Periodontology
1891295861
Maple Grove Family Dental Clinic, Pa
General Practice Dentistry
1922181197
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maple Grove Family Dental Clinic, Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
D11341
Minnesota
Primary
General Practice
9790
Minnesota
Secondary
General Practice
10067
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
10656
Other
Minnesota
Bluecrossblue Shield
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Maple Grove Family Dental Clinic, Pa 12000 Elm Creek Blvd N, Suite #220 Maple Grove, Minnesota
Zip:
55369-7073
Phone Number:
763-420-4421
Fax Number:
763-420-5674
Patients can reach Maple Grove Family Dental Clinic, Pa at 12000 Elm Creek Blvd N, Suite #220, Maple Grove, Minnesota or can call to book an appointment on 763-420-4421. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.