| Edgewood Dental | |
|
15616 Edgewood Drive Suite 110 Baxter MN 56401-4492 | |
| (218) 828-0565 | |
| (218) 828-0592 |
| Full Name | Edgewood Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15616 Edgewood Drive Suite 110, Baxter, Minnesota |
| Authorized Official Name and Position | Jeanni R Foss (OWNER/ DDS) |
| Authorized Official Contact | 2188280565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Dental 15616 Edgewood Drive Suite 110 Baxter MN 56401-4492 Ph: (218) 828-0565 | Edgewood Dental 15616 Edgewood Drive Suite 110 Baxter MN 56401-4492 Ph: (218) 828-0565 |
| NPI Number | 1194888107 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194888107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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