Odontotech, Pc

Specialty details in registry · Inver Grove Heights, MN

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At a glance

5870 Blackshire Path, Inver Grove Heights, MN 55076-1620

NPPES record updated May 13, 2019. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

5870 Blackshire Path
Inver Grove Heights, MN 55076-1620
Professional details: NPI, taxonomy & registry record
NPI1063974780
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223X0400X
Enumeration date
Apr 2, 2019
Record updated
May 13, 2019
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223X0400X · Primary

Specialty details in registry

261QD0000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5870 Blackshire Path
Inver Grove Heights, MN 55076-1620
Phone
(651) 433-7200
Fax
(651) 760-4333
Mailing address
5870 BLACKSHIRE PATH

INVER GROVE HEIGHTS, MN 550761620
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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