Haasken Dental, LLC
Organization Active NPI Dental Clinic/Center · Mora, MN
NPI 1104435395 · NPPES record last updated Jul 24, 2020
Key facts
- NPI
- 1104435395
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- HAASKEN DENTAL, LLC
- Practice address
- 130 Forest Ave E
Mora, MN 55051-1510 - Phone
- (320) 679-1010
- NPI assigned
- Jul 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Linnea M Haasken
- Title
- Office Manager
- Phone
- (320) 679-1010
Practitioners 2
-
Bruce Neil Haasken, DDS
-
Bryce Wayne Haasken, DDS
National Provider Directory
Locations
130 Forest Ave E
Mora, MN 55051
Phone (320) 679-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
130 Forest Ave E
Mora, MN 55051-1510
Mailing address
130 Forest Ave E
Mora, MN 55051-1510
Phone (320) 679-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA1871509950 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | haaskendental@aol.com | Direct |
Other providers in Mora, MN
- Elizabeth Erin Gilbertson
- Harlan James Gilbertson
- Nicholas Gordon Giller
- Barbara Joanne Greenwood
- Kendall Leigh Gunderman
- Bruce Neil Haasken
- Bryce Wayne Haasken
- Mitchell Hager
- Gabriela L Halle
- Matthew James Hamiel
All providers in Mora, 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 Jul 24, 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.