Provider Demographics
NPI:1235544180
Name:ACCESSPOINT DENTAL LLC
Entity Type:Organization
Organization Name:ACCESSPOINT DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANA
Authorized Official - Middle Name:KWABENA
Authorized Official - Last Name:YEBOAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-480-4967
Mailing Address - Street 1:7310 YORK AVE S
Mailing Address - Street 2:#202
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4740
Mailing Address - Country:US
Mailing Address - Phone:515-480-4967
Mailing Address - Fax:
Practice Address - Street 1:1590 ROBERT ST S
Practice Address - Street 2:
Practice Address - City:WEST SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3403
Practice Address - Country:US
Practice Address - Phone:651-300-0949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-29
Last Update Date:2014-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13018261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental