| Henrickson Dental | |
|
1560 Beam Ave Ste A Maplewood MN 55109-1171 | |
| (651) 777-8900 | |
| (651) 777-8908 |
| Full Name | Henrickson Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 1560 Beam Ave Ste A, Maplewood, Minnesota |
| Authorized Official Name and Position | Mike Ryan Henrickson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6517778900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrickson Dental 1560 Beam Ave Ste A Maplewood MN 55109-1171 Ph: (651) 777-8900 | Henrickson Dental 1560 Beam Ave Ste A Maplewood MN 55109-1171 Ph: (651) 777-8900 |
| NPI Number | 1861054090 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 4385087907 |
|---|---|
| Medicare Enrollment ID | O20240209002877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861054090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Estee Wang, Dmd Ms, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1668 Cope Ave E, Maplewood, MN 55109 Phone: 651-777-7300 | |
Healthpartners Maplewood Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-770-8828 Fax: 651-779-1570 | |
123 Brush Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 Beam Ave, Ste 202, Maplewood, MN 55109 Phone: 651-779-4195 | |
Nerness Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2480 White Bear Ave N Ste 202, Maplewood, MN 55109 Phone: 651-777-7744 | |
Hoglund Wallin Dentistry Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Cope Ave E, Maplewood, MN 55109 Phone: 651-482-8332 Fax: 651-482-7839 | |
Peter H Mielke Dds Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Beam Ave Ste 202, Maplewood, MN 55109 Phone: 651-779-9002 | |
Dr. Roger C. Stoddard Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2480 White Bear Ave N Ste 202, Maplewood, MN 55109 Phone: 651-776-1597 |