Organization

Family Periodontic Specialists, Plc

May also be knows as Metro Dentalcare Specialty Center Richfield - Periodontics

Periodontist in Richfield, MN(View on Map)

Legal Business Name

Family Periodontic Specialists, Plc

Also Known As

Metro Dentalcare Specialty Center Richfield - Periodontics

NPI Number

1063512234

NPI Type

Organization

Enumeration Date

09/25/2006

Specialties

(Taxonomies)

Code

1223P0300X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

6601 LYNDALE AVE S STE 220
6601 LYNDALE AVE S STE 220

City

Richfield
Richfield

State

MN
MN

Postal Code

55423-2493
55423-2493

Country

US
US

Telephone Number

N/A
(612) 861-9123

Authorized Official

Name

Belinda Huerta

Title or Position

CREDENTIALING COORDINATOR

Telephone Number

(217) 540-2100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/10/2022

Provider Address