Provider Demographics
NPI:1225150881
Name:CITIES DENTISTRY, PA
Entity Type:Organization
Organization Name:CITIES DENTISTRY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LEHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:952-445-6220
Mailing Address - Street 1:235 1ST AVE E
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-1440
Mailing Address - Country:US
Mailing Address - Phone:952-445-6220
Mailing Address - Fax:
Practice Address - Street 1:235 1ST AVE E
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1440
Practice Address - Country:US
Practice Address - Phone:952-445-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty