| Family Dental Care | |
|
415 1st Ave E Shakopee MN 55379-1439 | |
| (952) 445-5510 | |
| (952) 496-9728 |
| Full Name | Family Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 415 1st Ave E, Shakopee, Minnesota |
| Authorized Official Name and Position | Alan Charles Perry (OWNER) |
| Authorized Official Contact | 9524455510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care 415 1st Ave E Shakopee MN 55379-1439 Ph: (952) 445-5510 | Family Dental Care 415 1st Ave E Shakopee MN 55379-1439 Ph: (952) 445-5510 |
| NPI Number | 1295971299 |
|---|---|
| Provider Enumeration Date | 12/21/2008 |
| Last Update Date | 12/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295971299 | NPI | - | NPPES |
| 1659332252 | Other | MN | TYPE I NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8975 (Minnesota) | Primary |
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