| Henrickson Dental | |
|
1560 Beam Ave Suite 2 Maplewood MN 55109-1191 | |
| (651) 777-8900 | |
| Not Available |
| Full Name | Henrickson Dental |
|---|---|
| Speciality | Dentist |
| Location | 1560 Beam Ave, Maplewood, Minnesota |
| Authorized Official Name and Position | Myron A Henrickson (OWNER) |
| Authorized Official Contact | 6517778900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrickson Dental 1560 Beam Ave Suite 2 Maplewood MN 55109-1191 Ph: (651) 777-8900 | Henrickson Dental 1560 Beam Ave Suite 2 Maplewood MN 55109-1191 Ph: (651) 777-8900 |
| NPI Number | 1740444827 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740444827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D9492 (Minnesota) | Primary |
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Nerness Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2480 White Bear Ave N Ste 202, Maplewood, MN 55109 Phone: 651-777-7744 | |
Hoglund Wallin Dentistry Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 Cope Ave E, Maplewood, MN 55109 Phone: 651-482-8332 Fax: 651-482-7839 | |
Peter H Mielke Dds Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Beam Ave Ste 202, Maplewood, MN 55109 Phone: 651-779-9002 | |
Dr. Roger C. Stoddard Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2480 White Bear Ave N Ste 202, Maplewood, MN 55109 Phone: 651-776-1597 |