County of Murray
Organization Active NPI General Practice Dentistry · Slayton, MN
NPI 1770645145 · NPPES record last updated Jun 16, 2008
Key facts
- NPI
- 1770645145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8027057 (MN)
- Legal business name
- COUNTY OF MURRAY
- Practice address
- 2711 Broadway Ave Ste 100
Slayton, MN 56172-1313 - Phone
- (507) 836-1000
- Fax
- (507) 836-1008
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Narla N. Hulstein
- Title
- Clinic Manager
- Phone
- (507) 836-1000
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Murray Co Mem Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 8027057 | MN | Yes |
Addresses
Primary practice location
2711 Broadway Ave Ste 100
Slayton, MN 56172-1313
Mailing address
2711 Broadway Ave Ste 100
Slayton, MN 56172-1313
Phone (507) 836-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 791987500 | Medicaid | MN |
Other names
- Shetek Dental Care
Other providers in Slayton, MN
- Natalie Rae Brown
- Chelsey Carlson
- Brian A Chabot
- County of Murray
- County of Murray
- Kristin Shea Deacon
- Lydia J Diekmann
- Paige M Freeman
- Amy Goering Fry
- Larry Dean Hafner
All providers in Slayton, 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 Jun 16, 2008. 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.