| Bluffside Dental | |
|
424 W 5th St Red Wing MN 55066-2524 | |
| (651) 388-5492 | |
| Not Available |
| Full Name | Bluffside Dental |
|---|---|
| Speciality | Dentist |
| Location | 424 W 5th St, Red Wing, Minnesota |
| Authorized Official Name and Position | Todd Porter (OWNER/DENTIST) |
| Authorized Official Contact | 9528925050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluffside Dental 50 Mcandrews Rd E Burnsville MN 55337-5718 Ph: (952) 892-5050 | Bluffside Dental 424 W 5th St Red Wing MN 55066-2524 Ph: (651) 388-5492 |
| NPI Number | 1558858803 |
|---|---|
| Provider Enumeration Date | 04/21/2018 |
| Last Update Date | 04/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558858803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11535 (Minnesota) | Primary |
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