| Lewiston Dental Care | |
|
560 Debra Dr Lewiston MN 55952 | |
| (507) 523-1071 | |
| (507) 523-1078 |
| Full Name | Lewiston Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 560 Debra Dr, Lewiston, Minnesota |
| Authorized Official Name and Position | Bradley John Bullard (DENTIST/OWNER) |
| Authorized Official Contact | 5075231071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewiston Dental Care 560 Debra Dr Po Box 697 Lewiston MN 55952 Ph: (507) 523-1071 | Lewiston Dental Care 560 Debra Dr Lewiston MN 55952 Ph: (507) 523-1071 |
| NPI Number | 1801443049 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801443049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Midwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Debra Dr, Lewiston, MN 55952 Phone: 507-523-2267 |