IndividualActive
Preetanjali Thakur, BDS
NPI 1184023772 · Orofacial Pain Dentistry · St Paul, MN
Provider details
- NPI number
- 1184023772
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Credential
- BDS
- Sex
- Female
- Sole proprietor
- No
- License
- S127 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2550 University Avenue West Suite 189s
St Paul, MN 55114
Phone: (651) 332-7474
Fax: (651) 332-7475
Approximate (ZIP-level) locationGet directions
Mailing address
2550 University Avenue West Suite 189s
St Paul, MN 55114
Registry dates
- Enumerated
- 2014-08-19
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.