| Bruce Bohnsack Dds | |
|
100 3rd St Sw Cokato MN 55321-4595 | |
| (320) 286-5333 | |
| (320) 286-5631 |
| Full Name | Bruce Bohnsack Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 3rd St Sw, Cokato, Minnesota |
| Authorized Official Name and Position | Bruce Allen Bohnsack (DDS/OWNER) |
| Authorized Official Contact | 3202865333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Bohnsack Dds 100 3rd St Sw P.o. Box 669 Cokato MN 55321-4595 Ph: (320) 286-5333 | Bruce Bohnsack Dds 100 3rd St Sw Cokato MN 55321-4595 Ph: (320) 286-5333 |
| NPI Number | 1962754606 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962754606 | NPI | - | NPPES |
| 972817100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8315 (Minnesota) | Primary |
Bohnsack Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 3rd St Sw, Cokato, MN 55321 Phone: 320-286-5333 Fax: 320-286-5631 | |
Fiedler Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Olsen Blvd Ne Ste 200, Cokato, MN 55321 Phone: 320-286-2712 |