| Foley Dental Clinic | |
|
11237 Foley Blvd Nw Coon Rapids MN 55448-3389 | |
| (763) 757-3120 | |
| (763) 757-5161 |
| Full Name | Foley Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11237 Foley Blvd Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Roger E Austin (PRESIDENT/OWNER) |
| Authorized Official Contact | 7637573120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foley Dental Clinic 11237 Foley Blvd Nw Coon Rapids MN 55448-3389 Ph: (763) 757-3120 | Foley Dental Clinic 11237 Foley Blvd Nw Coon Rapids MN 55448-3389 Ph: (763) 757-3120 |
| NPI Number | 1932399557 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932399557 | NPI | - | NPPES |
| 1184614117 | Other | MN | NPI ENUMERATOR FOR ROGER |
| 1154311181 | Other | MN | NPI ENUMERATOR FOR DAVID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07057 (Minnesota) | Primary |
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