| Healthpartners Riverside Dental Clinic | |
|
2220 Riverside Ave Minneapolis MN 55454-1321 | |
| (612) 371-1605 | |
| (612) 373-5591 |
| Full Name | Healthpartners Riverside Dental Clinic |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2220 Riverside Ave, Minneapolis, 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 |
|---|---|
| Healthpartners Riverside Dental Clinic 8100 34th Ave S 21113a Bloomington MN 55425-1672 Ph: (952) 883-5151 | Healthpartners Riverside Dental Clinic 2220 Riverside Ave Minneapolis MN 55454-1321 Ph: (612) 371-1605 |
| NPI Number | 1700932449 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700932449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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