| Dr. Sjulson's Dental Office | |
|
109 Johnson Ave. N Fosston MN 56542-1327 | |
| (218) 435-1599 | |
| (218) 435-6568 |
| Full Name | Dr. Sjulson's Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 109 Johnson Ave. N, Fosston, Minnesota |
| Authorized Official Name and Position | Roger Wayne Sjulson (DENTIST) |
| Authorized Official Contact | 2184351599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Sjulson's Dental Office 109 Johnson Ave N. Fosston MN 56542-1327 Ph: (218) 435-1599 | Dr. Sjulson's Dental Office 109 Johnson Ave. N Fosston MN 56542-1327 Ph: (218) 435-1599 |
| NPI Number | 1124386099 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124386099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8437 (Minnesota) | Primary |
| 122300000X | Dentist | LGL5 (Minnesota) | Secondary |
Fosston Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hillestad Ave N, Fosston, MN 56542 Phone: 218-435-1717 Fax: 218-435-6030 | |
Fosston Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hillestad Ave N, Fosston, MN 56542 Phone: 218-435-1717 Fax: 218-435-6030 | |
Prairie Pines Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Johnson Ave N, Fosston, MN 56542 Phone: 320-309-5882 | |
Fosston Family Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Hillestad Ave N, Fosston, MN 56542 Phone: 218-435-1717 |