| Elk River Family Dentistry | |
|
303 Main Street Elk River MN 55330 | |
| (763) 441-9181 | |
| (763) 441-3399 |
| Full Name | Elk River Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 303 Main Street, Elk River, Minnesota |
| Authorized Official Name and Position | Jerome Raymond Nyberg (OWNER) |
| Authorized Official Contact | 7634419181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk River Family Dentistry 303 Main Street Elk River MN 55330 Ph: (763) 441-9181 | Elk River Family Dentistry 303 Main Street Elk River MN 55330 Ph: (763) 441-9181 |
| NPI Number | 1245303254 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245303254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Smile Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Main St Nw, Elk River, MN 55330 Phone: 651-351-7777 | |
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