| John F. Reardon Dds, Pa | |
|
333 Main St N Ste 111 Stillwater MN 55082-5054 | |
| (651) 439-6125 | |
| (651) 439-0038 |
| Full Name | John F. Reardon Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 333 Main St N Ste 111, Stillwater, Minnesota |
| Authorized Official Name and Position | John Foran Reardon (OWNER) |
| Authorized Official Contact | 6512162072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John F. Reardon Dds, Pa 333 Main St N Ste 111 Stillwater MN 55082-5054 Ph: (651) 439-6125 | John F. Reardon Dds, Pa 333 Main St N Ste 111 Stillwater MN 55082-5054 Ph: (651) 439-6125 |
| NPI Number | 1831899046 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831899046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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