Immanuel Dental | |
321 Third Street Farmington MN 55024 | |
(651) 463-2880 | |
(651) 463-2840 |
Full Name | Immanuel Dental |
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Speciality | Dentist |
Location | 321 Third Street, Farmington, Minnesota |
Authorized Official Name and Position | Linden K. Dungy (C.E.O.) |
Authorized Official Contact | 6514632880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Immanuel Dental 321 Third Street Farmington MN 55024 Ph: (651) 463-2880 | Immanuel Dental 321 Third Street Farmington MN 55024 Ph: (651) 463-2880 |
NPI Number | 1417070509 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 03/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417070509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D10129 (Minnesota) | Primary |
Dental Health Center, Dds, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 19645 Pilot Knob Rd, Farmington, MN 55024 Phone: 651-463-2300 Fax: 651-463-2118 | |
Orthodontic Care Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Division St, Farmington, MN 55024 Phone: 651-463-2800 | |
Midwest Dental Farmington Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024 Phone: 651-315-8229 Fax: 651-571-0142 | |
Park Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Elm St, Farmington, MN 55024 Phone: 952-303-7028 | |
Rivers Edge Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 1st St, Farmington, MN 55024 Phone: 651-463-7777 Fax: 651-460-6123 |