| Family Dentistry | |
|
500 Osborne Road Suite 155 Unity Professional Bldg Fridley MN 55432 | |
| (763) 786-3800 | |
| (763) 786-9508 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Osborne Road, Fridley, Minnesota |
| Authorized Official Name and Position | Sheri L Murray (OFFICE MANAGER) |
| Authorized Official Contact | 7637863800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 500 Osborne Road Suite 155 Unity Professional Bldg Fridley MN 55432 Ph: (763) 786-3800 | Family Dentistry 500 Osborne Road Suite 155 Unity Professional Bldg Fridley MN 55432 Ph: (763) 786-3800 |
| NPI Number | 1962538330 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962538330 | NPI | - | NPPES |
| D11232 | Other | MN | LICENSE |
| 1972584068 | Other | NPI | |
| 1760540942 | Other | NPI | |
| D12319 | Other | MN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11232MN (Minnesota) | Secondary |
| 1223G0001X | Dentist - General Practice | D12319MN (Minnesota) | Primary |
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