Excel Dentistry PLLC

Organization Active NPI General Practice Dentistry · Albertville, MN

NPI 1124250873 · NPPES record last updated Aug 13, 2009

Key facts

NPI
1124250873
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
EXCEL DENTISTRY PLLC
Practice address
6563 Laketowne PL Ste a
Albertville, MN 55301-4511
Phone
(952) 746-3233
NPI assigned
Aug 13, 2009
Organization subpart
Yes
Parent organization (as reported)
EXCEL DENTISTRY PLLC

Authorized official

Name
Dr. Hatem Alassy
Title
Partner
Phone
(952) 746-3233

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Excel Dentistry (4 organizations share this tax ID)
Part of
Excel Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

6563 Laketowne PL Ste a
Albertville, MN 55301-4511

Mailing address

6563 Laketowne PL Ste a
Albertville, MN 55301-4511

Other providers in Albertville, MN

All providers in Albertville, MN · General Practice Dentistry in Minnesota

Sources for this page

Verify at the official NPI Registry.