| Cherokee Dental, P.a. | |
|
374 Annapolis St W Saint Paul MN 55118-1107 | |
| (651) 457-6231 | |
| (651) 457-8008 |
| Full Name | Cherokee Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 374 Annapolis St W, Saint Paul, Minnesota |
| Authorized Official Name and Position | David Douglas Vandevelde (PRESIDENT) |
| Authorized Official Contact | 6514576231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Dental, P.a. 374 Annapolis St W Saint Paul MN 55118-1107 Ph: (651) 457-6231 | Cherokee Dental, P.a. 374 Annapolis St W Saint Paul MN 55118-1107 Ph: (651) 457-6231 |
| NPI Number | 1295890895 |
|---|---|
| Provider Enumeration Date | 12/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295890895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8801 (Minnesota) | Primary |
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