| Austin Family Dental Ltd | |
|
1360 Energy Park Dr #104 St Paul MN 55108-5252 | |
| (651) 641-1908 | |
| (651) 641-1907 |
| Full Name | Austin Family Dental Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1360 Energy Park Dr, St Paul, Minnesota |
| Authorized Official Name and Position | Louis Thomas Austin (PRESIDENT DENTIST) |
| Authorized Official Contact | 6516411908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Family Dental Ltd 1360 Energy Park Dr #104 St Paul MN 55108-5252 Ph: (651) 641-1908 | Austin Family Dental Ltd 1360 Energy Park Dr #104 St Paul MN 55108-5252 Ph: (651) 641-1908 |
| NPI Number | 1104916527 |
|---|---|
| Provider Enumeration Date | 10/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104916527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D09811 (Minnesota) | Primary |
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