Bluestem Dental Pllc | |
210 13th St S Benson MN 56215-1821 | |
(320) 842-4191 | |
(320) 843-4208 |
Full Name | Bluestem Dental Pllc |
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Speciality | Dentist |
Location | 210 13th St S, Benson, Minnesota |
Authorized Official Name and Position | Anthony James Hilleren (ORGANIZING MEMBER) |
Authorized Official Contact | 3208424191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bluestem Dental Pllc 33494 290th Ave Benson MN 56215-3102 Ph: (320) 444-4033 | Bluestem Dental Pllc 210 13th St S Benson MN 56215-1821 Ph: (320) 842-4191 |
NPI Number | 1275189607 |
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Provider Enumeration Date | 08/12/2019 |
Last Update Date | 08/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275189607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Bluestem Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 13th St S, Benson, MN 56215 Phone: 320-842-4191 Fax: 320-843-4208 |