Lesueur Family Dental
Organization Active NPI Dentist · Lesueur, MN
NPI 1497975536 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497975536
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- LESUEUR FAMILY DENTAL
- Practice address
- 304 Valleygreen Square
Lesueur, MN 56058 - Phone
- (507) 665-6812
- Fax
- (507) 665-4127
- NPI assigned
- Apr 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Trent Mitchel Anderson, DDS
- Title
- Owner
- Phone
- (507) 665-6812
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
304 Valleygreen Square
Lesueur, MN 56058
Mailing address
304 Valleygreen Square
Lesueur, MN 56058
Phone (507) 665-6812
Other providers in Lesueur, 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.