| Gentle Dentistry Of Minnesota, Ltd | |
|
8074 Old Carriage Ct Shakopee MN 55379 | |
| (952) 746-0808 | |
| (952) 746-0866 |
| Full Name | Gentle Dentistry Of Minnesota, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8074 Old Carriage Ct, Shakopee, Minnesota |
| Authorized Official Name and Position | Robert Luther Bodin (CEO) |
| Authorized Official Contact | 9522249770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dentistry Of Minnesota, Ltd 4100 Shoreline Drive #4 Spring Park MN 55384 Ph: (952) 224-9783 | Gentle Dentistry Of Minnesota, Ltd 8074 Old Carriage Ct Shakopee MN 55379 Ph: (952) 746-0808 |
| NPI Number | 1083011928 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083011928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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