Provider Demographics
NPI:1992579981
Name:JMR DENTAL, PLLC
Entity type:Organization
Organization Name:JMR DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:RANFRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:612-865-5771
Mailing Address - Street 1:5300 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1730
Mailing Address - Country:US
Mailing Address - Phone:612-865-5771
Mailing Address - Fax:
Practice Address - Street 1:3225 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3647
Practice Address - Country:US
Practice Address - Phone:612-827-7400
Practice Address - Fax:612-823-8252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental