| Community Dental Care Inc | |
|
5700 Bottineau Blvd Ste 250 Crystal MN 55429-3183 | |
| (763) 270-5776 | |
| Not Available |
| Full Name | Community Dental Care Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5700 Bottineau Blvd Ste 250, Crystal, Minnesota |
| Authorized Official Name and Position | Korine C Schultz (HR DIRECTOR) |
| Authorized Official Contact | 6519258427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Care Inc 1670 Beam Ave Maplewood MN 55109-1201 Ph: (651) 925-8400 | Community Dental Care Inc 5700 Bottineau Blvd Ste 250 Crystal MN 55429-3183 Ph: (763) 270-5776 |
| NPI Number | 1588005169 |
|---|---|
| Provider Enumeration Date | 07/11/2013 |
| Last Update Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588005169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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