Glen Oaks Dental PLLP
Organization Active NPI General Practice Dentistry · Circle Pines, MN
NPI 1710054986 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1710054986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D8945 (MN)
- Legal business name
- GLEN OAKS DENTAL PLLP
- Practice address
- 2 S Pine Dr
Ste M
Circle Pines, MN 55014-1798 - Phone
- (763) 786-8460
- Fax
- (763) 786-1792
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul David Craven, DDS
- Title
- General Partner
- Phone
- (763) 786-8460
Practitioners 2
-
Paul David Craven, DDS
National Provider Directory
Locations
2 S Pine Dr
Ste M
Circle Pines, MN 55014
Phone (763) 786-8460
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D8945 | MN | Yes |
Addresses
Primary practice location
2 S Pine Dr
Ste M
Circle Pines, MN 55014-1798
Mailing address
2 S Pine Dr
Ste M
Circle Pines, MN 55014-1848
Phone (763) 786-8460
Other providers in Circle Pines, MN
- Sara Fenstermacher
- Kristi Ann Fickes
- Peter Freeborn
- Emma Gannon
- Nicole Garofalo
- Green Bird Counseling
- Kelsi Gruber Kellerhuis
- Sara Marie Haglin
- Laylo Haji
- Kelsy Haltvick
All providers in Circle Pines, MN · General Practice Dentistry in Minnesota
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.