| Aspen Dental Care Alliance Dental | |
|
101 5th St E Ste 299 Saint Paul MN 55101-1898 | |
| (651) 224-7470 | |
| (651) 298-0122 |
| Full Name | Aspen Dental Care Alliance Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 5th St E, Saint Paul, Minnesota |
| Authorized Official Name and Position | Todd Alan Porter (OWNER) |
| Authorized Official Contact | 6512247470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Care Alliance Dental 101 5th St E Ste 299 Saint Paul MN 55101-1898 Ph: (651) 224-7470 | Aspen Dental Care Alliance Dental 101 5th St E Ste 299 Saint Paul MN 55101-1898 Ph: (651) 224-7470 |
| NPI Number | 1326023474 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326023474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11535 (Minnesota) | Primary |
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