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8515 Eagle Point Blvd Ste 200 Lake Elmo MN 55042-8624 | |
| (651) 523-9951 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8515 Eagle Point Blvd Ste 200, Lake Elmo, Minnesota |
| Authorized Official Name and Position | Penny Cermak (CFO) |
| Authorized Official Contact | 9528837914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8170 33rd Ave S Bloomington MN 55425-4516 Ph: (952) 883-7469 | 8515 Eagle Point Blvd Ste 200 Lake Elmo MN 55042-8624 Ph: (651) 523-9951 |
| NPI Number | 1811288269 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811288269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Group Health Plan, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8515 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-523-9950 | |
Red Oak Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9939 Hudson Blvd N # 107, Lake Elmo, MN 55042 Phone: 651-300-2334 | |
Valley Ridge Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12425 55th St N, Lake Elmo, MN 55042 Phone: 651-439-0322 | |
Mcgann Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8981 33rd St N, Lake Elmo, MN 55042 Phone: 651-777-1337 |