| Eagan Dental Associates Dba Northwood Dental | |
|
1227 Northwood Pkwy Eagan MN 55121-4204 | |
| (651) 687-0789 | |
| (651) 687-0902 |
| Full Name | Eagan Dental Associates Dba Northwood Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1227 Northwood Pkwy, Eagan, Minnesota |
| Authorized Official Name and Position | Loren Jeffrey Taple (DDS/OWNER) |
| Authorized Official Contact | 6516870789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagan Dental Associates Dba Northwood Dental 1227 Northwood Pkwy Eagan MN 55121-4204 Ph: (651) 687-0789 | Eagan Dental Associates Dba Northwood Dental 1227 Northwood Pkwy Eagan MN 55121-4204 Ph: (651) 687-0789 |
| NPI Number | 1891749362 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891749362 | NPI | - | NPPES |
| 1891749362 | Medicaid | MN | |
| 405522500 | Medicaid | MN | |
| 565522600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10386 (Minnesota) | Primary |
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