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2251 Connecticut Ave Healthpartners Central Mn Clinic - Dental Sartell MN 56337-4772 | |
| (320) 253-5824 | |
| (320) 203-2076 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2251 Connecticut Ave, Sartell, Minnesota |
| Authorized Official Name and Position | David S Gesko (DENTAL DIRECTOR AND SR. VICE PRESID) |
| Authorized Official Contact | 9528837577 |
| 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 | 2251 Connecticut Ave Healthpartners Central Mn Clinic - Dental Sartell MN 56337-4772 Ph: (320) 253-5824 |
| NPI Number | 1538213566 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538213566 | NPI | - | NPPES |
| 7477163-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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