Raintree Dental

Organization Active NPI General Practice Dentistry · Dayton, MN

NPI 1992847453 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992847453
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
D10574 (MN)
Legal business name
RAINTREE DENTAL
Practice address
13551 Balsam LN
Dayton, MN 55327
Phone
(763) 422-1714
Fax
(763) 712-5754
NPI assigned
Feb 13, 2007
Organization subpart
No

Authorized official

Name
Dr. Patrick Anthony Aydt, DDS
Title
Owner
Phone
(763) 422-1714

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

13551 Balsam Ln N
Dayton, MN 55327
Phone (763) 422-1714

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X D10574 MN Yes

Addresses

Primary practice location

13551 Balsam LN
Dayton, MN 55327

Mailing address

13551 Balsam LN
Dayton, MN 55327
Phone (763) 422-1714

Other providers in Dayton, MN

All providers in Dayton, MN · General Practice Dentistry in Minnesota

Sources for this page

Verify at the official NPI Registry.