E.T. McNiece DDS, P.a.
Organization Active NPI Dentist · Worthington, MN
NPI 1043433048 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043433048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 8114 (MN)
- Legal business name
- E.T. MCNIECE DDS, P.A.
- Practice address
- 1027 2ND Ave
Worthington, MN 56187-2380 - Phone
- (507) 372-7339
- Fax
- (507) 372-7330
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Edward Thomas McNiece, DDS
- Title
- Owner
- Phone
- (507) 372-7339
Practitioners 6
-
Bryan Broussard, D.D.S.
-
Jeffrey Dallas Campbell, D.M.D.
-
John Patrick Finucane, D.D.S.
-
Amy Jo Full, DDS
-
Garret Thorlakson, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 8114 | MN | Yes |
Addresses
Primary practice location
1027 2ND Ave
Worthington, MN 56187-2380
Mailing address
1027 2ND Ave
Worthington, MN 56187-2380
Phone (507) 372-7339
Other providers in Worthington, 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.