Emmanuel J. Patrick, DDS

General Practice Dentistry · New Brighton, MN

Individual Active NPI

NPI number 1760035141

Practice location

1125 Silver Lake Rd NW
New Brighton, MN 55112-6324
Phone
(651) 842-8426

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NPI record

NPI
1760035141
Entity type
Individual (Type 1)
Enumeration date
July 24, 2019
Last updated
July 24, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D14296 MN

Mailing address

15546 Omega Trl SE
Prior Lake, MN 55372-2033
Phone
(952) 807-2248

About Dr. Patrick

Emmanuel J. Patrick, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1125 Silver Lake Rd NW, New Brighton, MN 55112-6324. The NPI number 1760035141 was assigned on July 24, 2019 and the record was last updated on July 24, 2019.

Dr. Patrick lists a license in the registry: #D14296 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Emmanuel J. Patrick, DDS?

The NPI number is 1760035141.

What is the phone number of Dr. Patrick?

The phone number listed for the practice location is (651) 842-8426.

Where is Dr. Patrick located?

1125 Silver Lake Rd NW, New Brighton, MN 55112-6324.

What is the taxonomy code for Dr. Patrick?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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