| Adt Dental, Ltd. | |
|
2232 Hennepin Ave Minneapolis MN 55405-2737 | |
| (612) 377-6108 | |
| (612) 374-1820 |
| Full Name | Adt Dental, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2232 Hennepin Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Susan Zecco (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6123776108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adt Dental, Ltd. 2232 Hennepin Ave Minneapolis MN 55405-2737 Ph: (612) 377-6108 | Adt Dental, Ltd. 2232 Hennepin Ave Minneapolis MN 55405-2737 Ph: (612) 377-6108 |
| NPI Number | 1548282585 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548282585 | NPI | - | NPPES |
| 46092 DE | Other | MN | BLUE CROSS BLUE SHIELD |
| 013454 | Other | MN | DORAL DENTAL |
| 1727 | Other | MN | HEALTH PARTNERS |
| 978483 | Other | MN | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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