Albertville Family Dental
Organization Active NPI Dental Clinic/Center · Albertville, MN
NPI 1033726161 · NPPES record last updated Sep 23, 2020
Key facts
- NPI
- 1033726161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ALBERTVILLE FAMILY DENTAL
- Practice address
- 5047 Jason Ave NE
Albertville, MN 55301-9688 - Phone
- (763) 497-8165
- Fax
- (763) 497-8162
- NPI assigned
- Sep 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Patrick Gary Becicka, DDS
- Title
- Doctor / Owner
- Phone
- (763) 497-8165
Practitioners 2
-
Patrick Gary Becicka, D.D.S.
-
Faith G Lira, DDS
National Provider Directory
Locations
5047 Jason Ave NE
Albertville, MN 55301
Phone (763) 497-8165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
5047 Jason Ave NE
Albertville, MN 55301-9688
Mailing address
5047 Jason Ave NE
Albertville, MN 55301-9688
Phone (763) 497-8165
Other providers in Albertville, MN
- Albertville - St. Michael Clinic
- Andrea Lynn Anderson
- Jennifer C Anderson
- Olivia Anton
- Cassandra Antonson
- Apex Chiropractic of Albertville
All providers in Albertville, MN · Dental Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.