| Forest Lake Smiles, Pa | |
|
1068 Lake St S Forest Lake MN 55025-2639 | |
| (651) 464-8207 | |
| Not Available |
| Full Name | Forest Lake Smiles, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1068 Lake St S, Forest Lake, Minnesota |
| Authorized Official Name and Position | Sarah Burt (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6512435999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Lake Smiles, Pa Po Box 220 North Branch MN 55056-0220 Ph: () - | Forest Lake Smiles, Pa 1068 Lake St S Forest Lake MN 55025-2639 Ph: (651) 464-8207 |
| NPI Number | 1699238139 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699238139 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Libby Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N Ste 205, Forest Lake, MN 55025 Phone: 651-464-3052 | |
Eric M Knaff P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Lake St N Ste 100, Forest Lake, MN 55025 Phone: 651-464-3425 Fax: 651-464-5432 | |
Rossodontics Dental Sleep Medicine Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 Lake St S Ste 101, Forest Lake, MN 55025 Phone: 651-464-6988 | |