Paul Michael Trobec, DDS
Individual provider Active NPI General Practice Dentistry · Rice, MN
NPI 1790948883 · NPPES record last updated Jul 8, 2008
Key facts
- NPI
- 1790948883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D12544 (MN)
- Practice address
- 20 16TH Ave. SW
Rice, MN 56367 - Phone
- (320) 393-2215
- Fax
- (320) 393-3235
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150512002869 | MN | Order and Referring Only - Dentist |
2567781651 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trobec Family Dental, PA. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12544 | MN | Yes |
Addresses
Primary practice location
20 16TH Ave. SW
Rice, MN 56367
Mailing address
P.O. Box 190
20 16TH Ave SW
Rice, MN 56367
Phone (320) 393-2215
Other providers in Rice, MN
- Northlink Mobility LLC
- Johnathon Omann
- Preferred Mobility
- Breanna Skroch
- Trobec Family Dental, PA.
- Saralicia Jane Waugh
- Workmed Midwest PA
All providers in Rice, 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 Jul 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.