12TH Street Dental Office PA
Organization Active NPI Dentist · Rochester, MN
NPI 1043374176 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043374176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- MN9567 (MN)
- Legal business name
- 12TH STREET DENTAL OFFICE PA
- Practice address
- 1008 12TH Street SE
Rochester, MN 55904-5030 - Phone
- (507) 282-6448
- Fax
- (507) 287-8846
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Gerard Becker, DDS
- Title
- Owner Partner Dentist
- Phone
- (507) 282-6448
Practitioners 6
-
Nicholas Bahls, DDS
-
Joseph Gerard Becker, DDS
-
Julee Ann Kingsley, DDS
-
Christopher Dean Lindquist, D.D.S.
National Provider Directory
Locations
1008 12th St SE
Rochester, MN 55904
Phone (507) 282-6448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | MN9567 | MN | Yes |
Addresses
Primary practice location
1008 12TH Street SE
Rochester, MN 55904-5030
Mailing address
1008 12TH Street SE
Rochester, MN 55904-5030
Phone (507) 282-6448
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 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.