| Dakota Valley Oral And Maxillofacial Surgery, Pllc | |
|
2130 Cliff Rd Suite 100 Saint Paul MN 55122-2485 | |
| (651) 452-6933 | |
| Not Available |
| Full Name | Dakota Valley Oral And Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2130 Cliff Rd, Saint Paul, Minnesota |
| Authorized Official Name and Position | Michelle Hartmann (CLINIC MANAGER) |
| Authorized Official Contact | 6519054834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Valley Oral And Maxillofacial Surgery, Pllc 2130 Cliff Rd Suite 100 Saint Paul MN 55122-2485 Ph: (651) 452-6933 | Dakota Valley Oral And Maxillofacial Surgery, Pllc 2130 Cliff Rd Suite 100 Saint Paul MN 55122-2485 Ph: (651) 452-6933 |
| NPI Number | 1366568206 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 07/06/2020 |
| Medicare PECOS PAC ID | 9436127560 |
|---|---|
| Medicare Enrollment ID | O20040917000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366568206 | NPI | - | NPPES |
| 6B354SE | Other | MN | BCBS MN CLINIC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Cassandra L Stacy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033179577 PECOS PAC ID: 9032151816 Enrollment ID: I20050523001187 |
| Provider Name | Anthony A Indovina |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548323033 PECOS PAC ID: 4486690294 Enrollment ID: I20050701000472 |
| Provider Name | Christopher J French |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427029073 PECOS PAC ID: 4486672573 Enrollment ID: I20051107001143 |
| Provider Name | Patricia A Rake |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730255134 PECOS PAC ID: 5496856338 Enrollment ID: I20070723000570 |
| Provider Name | Scott A Rake |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1851454334 PECOS PAC ID: 0143387423 Enrollment ID: I20090401000291 |
| Provider Name | Joby E Jaberi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407059009 PECOS PAC ID: 3577786300 Enrollment ID: I20140524000153 |
| Provider Name | Nancy E Mcdermott |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679549182 PECOS PAC ID: 4587987342 Enrollment ID: I20230510000251 |
Dr, David Nelson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1439 Arcade St, Saint Paul, MN 55106 Phone: 651-776-4835 | |
Associated Dentists Sholom Home Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1371 7th St W, Suite B, Saint Paul, MN 55102 Phone: 651-488-5557 Fax: 651-488-0014 | |
Family & Cosmetic Gentle Dentistry, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 Suburban Ave, Saint Paul, MN 55106 Phone: 651-209-3139 Fax: 651-209-3138 | |
Signature Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 7th St W Ste 102, Saint Paul, MN 55102 Phone: 651-426-9986 | |
Milk And Honey Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 County Road B E, Saint Paul, MN 55117 Phone: 651-488-2541 | |
Peterson & Peterson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Arcade St, Saint Paul, MN 55106 Phone: 651-774-2959 Fax: 651-774-1997 | |
Main Street Family Dental Care P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Main St, Suite 308, Saint Paul, MN 55102 Phone: 651-227-6561 Fax: 651-297-6852 |