Bluffside Dental

Dentist · Red Wing, MN

Organization Active NPI

NPI number 1558858803

Practice location

424 W 5TH St
Red Wing, MN 55066-2524
Phone
(651) 388-5492

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NPI record

NPI
1558858803
Entity type
Organization (Type 2)
Enumeration date
April 21, 2018
Last updated
April 21, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D11535 MN

Mailing address

50 McAndrews Rd E
Burnsville, MN 55337-5718
Phone
(952) 892-5050

Authorized official

Name
Dr. Todd Porter, DD
Title
Owner/Dentist
Phone
(952) 892-5050

About Bluffside Dental

Bluffside Dental is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 424 W 5TH St, Red Wing, MN 55066-2524. The NPI number 1558858803 was assigned on April 21, 2018 and the record was last updated on April 21, 2018.

Bluffside Dental lists a license in the registry: #D11535 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Todd Porter, DD, Owner/Dentist.

Frequently asked questions

What is the NPI number of Bluffside Dental?

The NPI number is 1558858803.

What is the phone number of Bluffside Dental?

The phone number listed for the practice location is (651) 388-5492.

Where is Bluffside Dental located?

424 W 5TH St, Red Wing, MN 55066-2524.

What is the taxonomy code for Bluffside Dental?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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