Elan Dental Arts, P.c. | |
16154 Main Ave Se Suite 110a Prior Lake MN 55372-4800 | |
(952) 447-6290 | |
(952) 447-6292 |
Full Name | Elan Dental Arts, P.c. |
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Speciality | Clinic/center - Dental |
Location | 16154 Main Ave Se, Prior Lake, Minnesota |
Authorized Official Name and Position | James Harper Perry (OWNER) |
Authorized Official Contact | 9524476290 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elan Dental Arts, P.c. 16154 Main Ave Se Suite 110a Prior Lake MN 55372-4800 Ph: (952) 447-6290 | Elan Dental Arts, P.c. 16154 Main Ave Se Suite 110a Prior Lake MN 55372-4800 Ph: (952) 447-6290 |
NPI Number | 1407182629 |
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Provider Enumeration Date | 10/22/2009 |
Last Update Date | 10/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407182629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D11026 (Minnesota) | Primary |
Prior Lake Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14120 Commerce Ave, Suite #300, Prior Lake, MN 55372 Phone: 952-447-1080 Fax: 952-447-0376 | |
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