| Lakes Dental Care Plc | |
|
31052 Goverment Dr Pequot Lakes MN 56472-1002 | |
| (218) 568-5011 | |
| (218) 568-6851 |
| Full Name | Lakes Dental Care Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31052 Goverment Dr, Pequot Lakes, Minnesota |
| Authorized Official Name and Position | Jeffrey E Olson (OWNER) |
| Authorized Official Contact | 2188294511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Dental Care Plc 31052 Goverment Dr P.o. Box 426 Pequot Lakes MN 56472-1002 Ph: (218) 568-5011 | Lakes Dental Care Plc 31052 Goverment Dr Pequot Lakes MN 56472-1002 Ph: (218) 568-5011 |
| NPI Number | 1578682050 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578682050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2717206 (Minnesota) | Primary |
Mark T. Sherman Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31011 Rasmussen Rd, Pequot Lakes, MN 56472 Phone: 218-568-8295 |