| Lakeridge Dental | |
|
701 Highway 10 E Detroit Lakes MN 56501-4219 | |
| (218) 847-9214 | |
| (218) 847-9215 |
| Full Name | Lakeridge Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 Highway 10 E, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Kristine M Riewer (OWNER) |
| Authorized Official Contact | 2188479214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeridge Dental Po Box 517 Detroit Lakes MN 56502-0517 Ph: (218) 847-9214 | Lakeridge Dental 701 Highway 10 E Detroit Lakes MN 56501-4219 Ph: (218) 847-9214 |
| NPI Number | 1316022387 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316022387 | NPI | - | NPPES |
| 372149300 | Medicaid | MN | |
| 719517600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lakeridge Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Highway 10 E, Detroit Lakes, MN 56501 Phone: 218-847-9214 Fax: 218-847-9215 | |
Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-2624 Fax: 218-847-5792 | |
West River Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 W River Rd, Detroit Lakes, MN 56501 Phone: 218-846-1900 Fax: 218-847-5079 | |
Sailer Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Roosevelt Ave, Detroit Lakes, MN 56501 Phone: 218-847-8765 |