EMERGENCY DENTAL CARE USA – NPI #1003021239
Clinic/Center

EMERGENCY DENTAL CARE USA is an AHC clinic located in ROSEVILLE, MN. NPPES has assigned the NPI number 1003021239 to EMERGENCY DENTAL CARE USA on May 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EMERGENCY DENTAL CARE USA” is a dba name, the actual legal business name for this organization is STAT DENTAL, INC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMERGENCY DENTAL CARE USA below.

NPI Profile for
STAT DENTAL, INC

NPI Number
1003021239
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STAT DENTAL, INC
Doing Business As (dba): EMERGENCY DENTAL CARE USA
Primary location
2233 HAMLINE AVE N
SUITE 432
ROSEVILLE, MN 55113-5009
Phone: (651) 778-9911 Fax: (651) 633-0146
Mailing address
15043 BRIDGEWATER DR
SAVAGE, MN 55378-5618
Phone: (612) 859-7359 Fax:
Organization Subpart
No
Authorized Official
TIMOTHY GIBLETTE
PRESIDENT
Phone: (612) 859-7359
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.