Glen Oaks Dental Pllp | |
2 S Pine Dr Ste M Circle Pines MN 55014-1798 | |
(763) 786-8460 | |
(763) 786-1792 |
Full Name | Glen Oaks Dental Pllp |
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Speciality | Dentist - General Practice |
Location | 2 S Pine Dr, Circle Pines, Minnesota |
Authorized Official Name and Position | Paul David Craven (GENERAL PARTNER) |
Authorized Official Contact | 7637868460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glen Oaks Dental Pllp 2 S Pine Dr Ste M Circle Pines MN 55014-1848 Ph: (763) 786-8460 | Glen Oaks Dental Pllp 2 S Pine Dr Ste M Circle Pines MN 55014-1798 Ph: (763) 786-8460 |
NPI Number | 1710054986 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710054986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D8945 (Minnesota) | Primary |
Circle Pines Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Civic Heights Dr, Circle Pines, MN 55014 Phone: 763-786-3432 Fax: 763-786-0304 | |
Mint Dental Lino Lakes Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 591 Apollo Dr, Circle Pines, MN 55014 Phone: 651-786-7630 |