OrganizationActive
Alternative Dental Network
NPI 1306009667 · Preferred Provider Organization · Golden Valley, MN
Provider details
- NPI number
- 1306009667
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lavern Thomas, Administrator(612) 280-0350
Specialties & taxonomies
Managed Care Organizations
Practice location
8014 Hwy 55
Ste 154
Golden Valley, MN 55427
Phone: (612) 280-0350
Approximate (ZIP-level) locationGet directions
Mailing address
8014 Highway 55
Golden Valley, MN 55427-4712
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2008-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.