| Bluejay Family Dentistry | |
|
1975 11th Ave E Maplewood MN 55109-5148 | |
| (651) 770-2900 | |
| Not Available |
| Full Name | Bluejay Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1975 11th Ave E, Maplewood, Minnesota |
| Authorized Official Name and Position | Alexis Simonson (OWNER) |
| Authorized Official Contact | 6127354818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluejay Family Dentistry 2860 105th Ave Ne Blaine MN 55449-5212 Ph: (612) 735-4818 | Bluejay Family Dentistry 1975 11th Ave E Maplewood MN 55109-5148 Ph: (651) 770-2900 |
| NPI Number | 1407362205 |
|---|---|
| Provider Enumeration Date | 12/17/2017 |
| Last Update Date | 12/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407362205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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