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11475 Robinson Dr Nw Coon Rapids MN 55433-3746 | |
| (763) 754-0041 | |
| (763) 754-4506 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11475 Robinson Dr Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Kathleen M Cooney (CAO) |
| Authorized Official Contact | 9528837565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8100 34th Ave S 21113a Bloomington MN 55425-1672 Ph: (952) 883-5151 | 11475 Robinson Dr Nw Coon Rapids MN 55433-3746 Ph: (763) 754-0041 |
| NPI Number | 1184779811 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 07/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184779811 | NPI | - | NPPES |
| 5177171-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Riverdale Pediatric Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3585 124th Ave Nw, Ste 400, Coon Rapids, MN 55433 Phone: 763-767-1524 Fax: 763-767-1528 | |
Minnesota Dental Professionals, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11237 Foley Blvd Nw, Coon Rapids, MN 55448 Phone: 763-757-1234 | |
Osage Dental Associates Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11441 Osage St Nw, Coon Rapids, MN 55433 Phone: 763-757-6600 Fax: 763-757-3693 |