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NPI 1043374176

OrganizationActive

12th Street Dental Office PA

NPI 1043374176 · Dentist · Rochester, MN

Provider details

NPI number: 1043374176
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Joseph Becker, Owner Partner Dentist
License: MN9567 (MN)

Practice location

1008 12th Street Se

Rochester, MN 55904-5030

Phone: (507) 282-6448

Fax: (507) 287-8846

More MN providers

Mailing address

1008 12th Street Se

Rochester, MN 55904-5030

Registry dates

Enumerated: 2006-12-21
Last updated: 2020-08-22

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

12th Street Dental Office PA — NPI 1043374176, Rochester, MN | NPI Central