Family Periodontic Specialists, PLC
Family Periodontic Specialists, PLC provides Periodontics in Saint Paul, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1375 Saint Anthony AveSaint Paul, MN 55104-4006
Phone: (651) 645-4671
Fax: (651) 646-1342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1194474593 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Family Periodontic Specialists, PLC |
| Authorized official | Celia Hayes — Credentialing Coordinator · (217) 540-2100 |
| Other names | Metro Dentalcare St. Paul Midway - Periodontics |
| NPI enumerated | March 22, 2022 |
| Last updated in NPPES | March 22, 2022 |
| Certification date | March 22, 2022 |
| Mailing address | 1375 Saint Anthony Ave, Saint Paul, MN 55104-4006 |
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