Provider Demographics
NPI:1548487689
Name:THE NEW ART OF DENTISTRY
Entity type:Organization
Organization Name:THE NEW ART OF DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DEUTSCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-437-1166
Mailing Address - Street 1:1222 N FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2359
Mailing Address - Country:US
Mailing Address - Phone:651-437-1166
Mailing Address - Fax:651-437-6488
Practice Address - Street 1:1222 N FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2359
Practice Address - Country:US
Practice Address - Phone:651-437-1166
Practice Address - Fax:651-437-6488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN51575MIOtherBLUE CROS BLUE SHIELD
MN=========OtherFEIN