MINT DENTAL SHAKOPEE PLLC – NPI #1689149775
Clinic/Center

MINT DENTAL SHAKOPEE PLLC is an AHC clinic located in SHAKOPEE, MN. NPPES has assigned the NPI number 1689149775 to MINT DENTAL SHAKOPEE PLLC on October 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 MINT DENTAL SHAKOPEE PLLC below.

NPI Profile for
MINT DENTAL SHAKOPEE PLLC

NPI Number
1689149775
Enumeration Date

(more than 7 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
MINT DENTAL SHAKOPEE PLLC
Primary location
205 LEWIS ST S STE 101
SHAKOPEE, MN 55379-2290
Phone: (952) 445-3349 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARWA GAMAM-FOREST
DENTIST
Phone: (952) 831-1332
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.