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Minnesota Head and Neck Pain Clinic, PA — NPI 1003316852, Saint Cloud, MN | NPI Central

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NPI 1003316852

OrganizationActive

Minnesota Head and Neck Pain Clinic, PA

NPI 1003316852 · Orofacial Pain Dentistry · Saint Cloud, MN

Provider details

NPI number: 1003316852
Entity type: Organization
Primary specialty: Orofacial Pain DentistryDental Providers
Organization subpart: No
Authorized official: Tia Reichert, Chro/Clinic Admin(763) 577-2484

Specialties & taxonomies

Orofacial Pain DentistryPrimary1223X2210X
Dental Providers
Specialist174400000X
Other Service Providers

Practice location

622 Roosevelt Rd

Saint Cloud, MN 56301-6153

Phone: (763) 577-2484

Fax: (763) 577-1375

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

3475 Plymouth Blvd Ste 200

Plymouth, MN 55447-1539

Other names (DBA / former)

Doing business as: Minnesota Head & Neck Pain Clinic
Doing business as: Minnesota Head & Neck Pain Clinic

Registry dates

Enumerated: 2018-02-19
Last updated: 2024-07-17
Certified: 2023-10-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.