| Crossings Dental Care | |
|
8170 Old Carriage Ct Ste 150 Shakopee MN 55379-3163 | |
| (952) 224-8090 | |
| (952) 224-8095 |
| Full Name | Crossings Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8170 Old Carriage Ct Ste 150, Shakopee, Minnesota |
| Authorized Official Name and Position | Jeffrey K Wichmann (OWNER) |
| Authorized Official Contact | 9522248090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossings Dental Care 8170 Old Carriage Ct Ste 150 Shakopee MN 55379-3163 Ph: (952) 224-8090 | Crossings Dental Care 8170 Old Carriage Ct Ste 150 Shakopee MN 55379-3163 Ph: (952) 224-8090 |
| NPI Number | 1346462355 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346462355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12069 (Minnesota) | Primary |
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