Douglas J McNaught D D S P a
Organization Active NPI Dentist · Long Lake, MN
NPI 1053585653 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1053585653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D9985 (MN)
- Legal business name
- DOUGLAS J MCNAUGHT D D S P A
- Practice address
- 1870 W Wayzata Blvd
Long Lake, MN 55356-9491 - Phone
- (952) 473-7151
- Fax
- (952) 475-1539
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Douglas J. McNaught, DDS
- Title
- Doctor/Owner
- Phone
- (952) 473-7151
Practitioners 4
-
Joanna Rohlfsen, DDS
-
Jeffrey Leggett, DMD
National Provider Directory
Locations
1870 W Wayzata Blvd
Long Lake, MN 55356
Phone (952) 473-7151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D9985 | MN | Yes |
Addresses
Primary practice location
1870 W Wayzata Blvd
Long Lake, MN 55356-9491
Mailing address
PO Box 695
Long Lake, MN 55356-0695
Phone (952) 473-7151
Other names
- Long Lake Dental
Other providers in Long Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2008. 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.