| Camp Smile | |
|
2855 Campus Drive, Suite 360 Plymouth MN 55441 | |
| (763) 383-1788 | |
| (763) 383-1768 |
| Full Name | Camp Smile |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2855 Campus Drive, Suite 360, Plymouth, Minnesota |
| Authorized Official Name and Position | Daniel G Raether (PRESIDENT) |
| Authorized Official Contact | 7633831788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camp Smile 2855 Campus Drive, Suite 360 Plymouth MN 55441 Ph: (763) 383-1788 | Camp Smile 2855 Campus Drive, Suite 360 Plymouth MN 55441 Ph: (763) 383-1788 |
| NPI Number | 1780722942 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780722942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10086 (Minnesota) | Primary |
Smile Design Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3475 Plymouth Blvd, 100, Plymouth, MN 55447 Phone: 763-537-1238 Fax: 763-537-4627 | |
Roger Mondale, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10600 Old County Rd 15, Suite 120, Plymouth, MN 55441 Phone: 763-512-8500 Fax: 763-512-8592 | |
Lam Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Nathan Ln N, Plymouth, MN 55441 Phone: 763-544-0270 Fax: 763-544-0305 | |
Endodontic Professionals Pa Plymouth Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Hwy 169 N, Plymouth, MN 55441 Phone: 763-559-0859 Fax: 763-559-4356 | |
Justin T. Ostrem D.d.s. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9655 Schmidt Lake Rd Ste 200, Plymouth, MN 55442 Phone: 763-536-1272 | |
Boger Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 Phone: 763-546-7707 Fax: 763-546-7713 | |
Four Seasons Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441 Phone: 763-559-2976 Fax: 763-559-4852 |