Basic Information
| Provider Information | |||||||||
| NPI: | 1891974861 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OZTURK | ||||||||
| FirstName: | NUREDDIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5100 EDEN AVE STE 209 | ||||||||
| Address2: | |||||||||
| City: | EDINA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554362338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9529290641 | ||||||||
| FaxNumber: | 9522249790 | ||||||||
| Practice Location | |||||||||
| Address1: | 5100 EDEN AVE STE 209 | ||||||||
| Address2: | |||||||||
| City: | EDINA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554362338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9529290641 | ||||||||
| FaxNumber: | 9522249790 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2007 | ||||||||
| LastUpdateDate: | 10/26/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 12320 | MN | Y | Dental Providers | Dentist | General Practice |
No ID Information.