Regents of the University of Minnesota
Organization Active NPI Dental Clinic/Center · Hibbing, MN
NPI 1568546992 · NPPES record last updated Dec 21, 2016
Key facts
- NPI
- 1568546992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- REGENTS OF THE UNIVERSITY OF MINNESOTA
- Practice address
- 1515 E 25TH St
Room C-153
Hibbing, MN 55746-3354 - Phone
- (218) 263-2917
- Fax
- (218) 263-2971
- NPI assigned
- Oct 24, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
- Name
- Gary Carl Anderson, DDS
- Title
- Dean
- Phone
- (612) 626-6529
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- University of Minnesota
- Part of
- University of Minnesota
Locations
1515 E 25th St
Rm C153
Hibbing, MN 55746
Phone (218) 263-2917
1515 E 25th St
Ste C153
Hibbing, MN 55746
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1515 E 25TH St
Room C-153
Hibbing, MN 55746-3354
Mailing address
1515 E 25TH St
Room C-153
Hibbing, MN 55746-3354
Phone (218) 263-2917
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 936450100 | Medicaid | MN |
Other names
- Hibbing Community College Dental Clinic
Other providers in Hibbing, MN
- Range Regional Health Services
- Range Regional Health Services
- Range Spine Center, PLLC
- Kailey Annamae Reddick
- Teresa Reder
- Christopher Mark Reilly
- Renew Health Services, LLC
- Ashley Noelle Rengstorf
- Restorative Synergy Counseling LLC
- Restoring Waters Counseling LLC
All providers in Hibbing, 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 Dec 21, 2016. 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.