| Hibbing Community College Dental Clinic | |
|
1515 E 25th St Room C-153 Hibbing MN 55746-3354 | |
| (218) 263-2917 | |
| (218) 263-2971 |
| Full Name | Hibbing Community College Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1515 E 25th St, Hibbing, Minnesota |
| Authorized Official Name and Position | Gary Carl Anderson (DEAN) |
| Authorized Official Contact | 6126266529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hibbing Community College Dental Clinic 1515 E 25th St Room C-153 Hibbing MN 55746-3354 Ph: (218) 263-2917 | Hibbing Community College Dental Clinic 1515 E 25th St Room C-153 Hibbing MN 55746-3354 Ph: (218) 263-2917 |
| NPI Number | 1568546992 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568546992 | NPI | - | NPPES |
| 936450100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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