Provider Demographics
NPI:1992512099
Name:ALBANY FAMILY DENTISTRY, PLLC
Entity type:Organization
Organization Name:ALBANY FAMILY DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-845-8415
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MN
Mailing Address - Zip Code:56307-0609
Mailing Address - Country:US
Mailing Address - Phone:855-845-8415
Mailing Address - Fax:320-845-7272
Practice Address - Street 1:360 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:MN
Practice Address - Zip Code:56307-6201
Practice Address - Country:US
Practice Address - Phone:855-845-8415
Practice Address - Fax:320-845-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty