|
| |
|
411 1st Ave Ne Minneapolis MN 55413 | |
| (651) 246-1403 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 411 1st Ave Ne, Minneapolis, Minnesota |
| Authorized Official Name and Position | Elaine Patrice Benke (PARTNER) |
| Authorized Official Contact | 6512461403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
411 1st Ave Ne Minneapolis MN 55413 Ph: (612) 255-5569 | 411 1st Ave Ne Minneapolis MN 55413 Ph: (651) 246-1403 |
| NPI Number | 1316703044 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316703044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Nicollet Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6101 Nicollet Ave. So., Minneapolis, MN 55419 Phone: 612-866-8550 Fax: 612-866-9453 | |
Craig J Brandenburg Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Bloomington Ave, Minneapolis, MN 55417 Phone: 612-721-6233 Fax: 612-721-5723 | |
West River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4103 E Lake St, Minneapolis, MN 55406 Phone: 612-721-2424 Fax: 612-721-3054 | |
Minneapolis Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S 5th St Ste 1475, Minneapolis, MN 55402 Phone: 612-332-1255 Fax: 612-388-3721 |