| Eversmiles Pediatric Dentistry, Pllc | |
|
4419 Air Base Road Hermantown MN 55811-1847 | |
| (218) 728-2117 | |
| (218) 728-2700 |
| Full Name | Eversmiles Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4419 Air Base Road, Hermantown, Minnesota |
| Authorized Official Name and Position | John Patrick Conry (PARTNER) |
| Authorized Official Contact | 2187282117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eversmiles Pediatric Dentistry, Pllc 4419 Air Base Road Hermantown MN 55811-1847 Ph: (218) 728-2117 | Eversmiles Pediatric Dentistry, Pllc 4419 Air Base Road Hermantown MN 55811-1847 Ph: (218) 728-2117 |
| NPI Number | 1285873687 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285873687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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