Provider Demographics
NPI:1679182687
Name:DOWNTOWN DENTAL CENTER PLLC
Entity type:Organization
Organization Name:DOWNTOWN DENTAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLGER
Authorized Official - Middle Name:P
Authorized Official - Last Name:MEISER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-217-5201
Mailing Address - Street 1:17601 HIGHWAY 7 STE 200
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-4130
Mailing Address - Country:US
Mailing Address - Phone:952-217-5201
Mailing Address - Fax:
Practice Address - Street 1:825 NICOLLET MALL STE 1427
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2703
Practice Address - Country:US
Practice Address - Phone:612-333-8988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-26
Last Update Date:2020-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty