| Lake Elmo Dental | |
|
11240 Stillwater Blvd N Lake Elmo MN 55128 | |
| (651) 777-0210 | |
| (651) 777-0320 |
| Full Name | Lake Elmo Dental |
|---|---|
| Speciality | Dentist |
| Location | 11240 Stillwater Blvd N, Lake Elmo, Minnesota |
| Authorized Official Name and Position | Douglas Steven Wolff (OWNER DENTIST) |
| Authorized Official Contact | 6517770210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Elmo Dental 11240 Stillwater Blvd N Lake Elmo MN 55042 Ph: (651) 777-0210 | Lake Elmo Dental 11240 Stillwater Blvd N Lake Elmo MN 55128 Ph: (651) 777-0210 |
| NPI Number | 1891885000 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891885000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Group Health Plan, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8515 Eagle Point Blvd, Lake Elmo, MN 55042 Phone: 651-523-9950 | |
Red Oak Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9939 Hudson Blvd N # 107, Lake Elmo, MN 55042 Phone: 651-300-2334 | |
Valley Ridge Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12425 55th St N, Lake Elmo, MN 55042 Phone: 651-439-0322 | |
Grace Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12425 55th St N, Lake Elmo, MN 55042 Phone: 651-430-1020 Fax: 651-439-2201 | |
The Dental Specialists- Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 Phone: 651-268-2992 | |
City Walk Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10035 City Walk Dr, Ste A Lake Elmo Dental, Lake Elmo, MN 55042 Phone: 651-714-5555 Fax: 651-439-2211 | |
Mcgann Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8981 33rd St N, Lake Elmo, MN 55042 Phone: 651-777-1337 |