| Hernick Family Dental Pllc | |
|
4220 W Old Shakopee Rd Ste 221 Bloomington MN 55437-2949 | |
| (952) 881-0201 | |
| Not Available |
| Full Name | Hernick Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4220 W Old Shakopee Rd Ste 221, Bloomington, Minnesota |
| Authorized Official Name and Position | Jacoby Hernick (OWNER) |
| Authorized Official Contact | 6125320046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hernick Family Dental Pllc 4200 W Old Shakopee Rd Ste 221 Bloomington MN 55437-2967 Ph: () - | Hernick Family Dental Pllc 4220 W Old Shakopee Rd Ste 221 Bloomington MN 55437-2949 Ph: (952) 881-0201 |
| NPI Number | 1407636376 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407636376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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