| Creekside Dental | |
|
3340 Republic Ave Ste 130 St Louis Park MN 55426 | |
| (952) 938-2740 | |
| (952) 938-1338 |
| Full Name | Creekside Dental |
|---|---|
| Speciality | Dentist |
| Location | 3340 Republic Ave, St Louis Park, Minnesota |
| Authorized Official Name and Position | Patrick J Foy (OWNER) |
| Authorized Official Contact | 9529382740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental 3340 Republic Ave Ste 130 St Louis Park MN 55426 Ph: (952) 938-2740 | Creekside Dental 3340 Republic Ave Ste 130 St Louis Park MN 55426 Ph: (952) 938-2740 |
| NPI Number | 1831528447 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831528447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9089 (Minnesota) | Primary |
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