| Main Street Dental Care | |
|
209 South 1st Street Montevideo MN 56265-1412 | |
| (320) 269-6406 | |
| (320) 269-6408 |
| Full Name | Main Street Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 South 1st Street, Montevideo, Minnesota |
| Authorized Official Name and Position | David Jom Burrichter (DENTIST/OWNER) |
| Authorized Official Contact | 6512705266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Care 209 South 1st Street Montevideo MN 56265-1412 Ph: (320) 269-6406 | Main Street Dental Care 209 South 1st Street Montevideo MN 56265-1412 Ph: (320) 269-6406 |
| NPI Number | 1154972503 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154972503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Montevideo Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Legion Dr Ste 2, Montevideo, MN 56265 Phone: 320-269-6416 Fax: 320-269-8136 | |
Main Street Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N 1st St, Montevideo, MN 56265 Phone: 320-269-6406 Fax: 320-269-6408 | |
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