Avera Medical Group Dental Care | |
197 N Tyler St Tyler MN 56178-1160 | |
(507) 247-5591 | |
Not Available |
Full Name | Avera Medical Group Dental Care |
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Speciality | Dentist |
Location | 197 N Tyler St, Tyler, Minnesota |
Authorized Official Name and Position | Debbie Streier (CEO) |
Authorized Official Contact | 5075379160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avera Medical Group Dental Care 197 N Tyler St Tyler MN 56178-1160 Ph: (507) 247-5591 | Avera Medical Group Dental Care 197 N Tyler St Tyler MN 56178-1160 Ph: (507) 247-5591 |
NPI Number | 1962859058 |
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Provider Enumeration Date | 05/18/2016 |
Last Update Date | 12/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962859058 | NPI | - | NPPES |
NOT ASSIGNED YET | Other | NOT ASSIGNED YET |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Minnesota) | Primary |