| Downtown Dental Associates | |
|
825 Nicollet Mall Suite 731 Minneapolis MN 55402-2606 | |
| (612) 339-5808 | |
| Not Available |
| Full Name | Downtown Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Scott Robert Koidahl (PRESIDENT) |
| Authorized Official Contact | 6123395808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental Associates 825 Nicollet Mall Suite 731 Minneapolis MN 55402-2606 Ph: (612) 339-5808 | Downtown Dental Associates 825 Nicollet Mall Suite 731 Minneapolis MN 55402-2606 Ph: (612) 339-5808 |
| NPI Number | 1447372859 |
|---|---|
| Provider Enumeration Date | 04/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447372859 | NPI | - | NPPES |
| 1619030830 | Other | MN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9024 (Minnesota) | Primary |
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