South River Dental PLLC
South River Dental PLLC is a Dental Clinic/Center in West St Paul, Minnesota. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1545 Livingston Ave Ste 101West St Paul, MN 55118-3422
Phone: (651) 455-0505
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1154066405 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clint Kroeker — President · (651) 455-0505 |
| NPI enumerated | May 2, 2022 |
| Last updated in NPPES | May 2, 2022 |
| Certification date | May 2, 2022 |
| Mailing address | 1545 Livingston Ave Ste 101, West St Paul, MN 55118-3422 |
Other providers in West St Paul
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Jv Dental
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-
Lifelong Dental Care
1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 · (651) 457-4888
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Luna Land Dental Corp
1399 Robert St S, West St Paul, MN 55118-3141 · (651) 300-1230