| Immanuel Dental | |
|
321 Third Street Farmington MN 55024 | |
| (651) 463-2880 | |
| (651) 463-2840 |
| Full Name | Immanuel Dental |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |