Falls Court Dentists Pa | |
119 Ne First Street Ste 4 Little Falls MN 56345 | |
(320) 632-6621 | |
(320) 632-1829 |
Full Name | Falls Court Dentists Pa |
---|---|
Speciality | Clinic/center - Dental |
Location | 119 Ne First Street, Little Falls, Minnesota |
Authorized Official Name and Position | Lyle Mark Gessell (OWNER CORP VICE PRESIDENT) |
Authorized Official Contact | 3206326621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Falls Court Dentists Pa 119 Ne First Street Ste 4 Little Falls MN 56345 Ph: (320) 632-6621 | Falls Court Dentists Pa 119 Ne First Street Ste 4 Little Falls MN 56345 Ph: (320) 632-6621 |
NPI Number | 1124096011 |
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Provider Enumeration Date | 03/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124096011 | NPI | - | NPPES |
85320EA | Other | BLUE CROSS BLUE SHIELD | |
812989 | Other | UNITED OF CONCORDIA | |
1265 | Other | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (Minnesota) | Primary |
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