Dental Health Center, Dds, Pa | |
19645 Pilot Knob Rd Farmington MN 55024-7239 | |
(651) 463-2300 | |
(651) 463-2118 |
Full Name | Dental Health Center, Dds, Pa |
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Speciality | Dentist |
Location | 19645 Pilot Knob Rd, Farmington, Minnesota |
Authorized Official Name and Position | Jon S Falkowski (DENTIST OWNER) |
Authorized Official Contact | 6514632300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dental Health Center, Dds, Pa 19645 Pilot Knob Rd Farmington MN 55024-7239 Ph: (651) 463-2300 | Dental Health Center, Dds, Pa 19645 Pilot Knob Rd Farmington MN 55024-7239 Ph: (651) 463-2300 |
NPI Number | 1467405456 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 01/22/2013 |
Medicare PECOS PAC ID | 7315191558 |
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Medicare Enrollment ID | O20130216000032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467405456 | NPI | - | NPPES |
691375000 | Other | MN | MEDICAL ASSIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8018 (Minnesota) | Secondary |
122300000X | Dentist | 10404 (Minnesota) | Primary |
122300000X | Dentist | 10522 (Minnesota) | Secondary |
Provider Name | Jon S Falkowsi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1841351533 PECOS PAC ID: 8224282462 Enrollment ID: I20130216000037 |
Immanuel Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Third Street, Farmington, MN 55024 Phone: 651-463-2880 Fax: 651-463-2840 | |
Orthodontic Care Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Division St, Farmington, MN 55024 Phone: 651-463-2800 | |
Midwest Dental Farmington Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024 Phone: 651-315-8229 Fax: 651-571-0142 | |
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