| Madison-nelson Family Dentistry | |
|
324 W Superior St Ste 700 Duluth MN 55802-1721 | |
| (218) 722-7831 | |
| Not Available |
| Full Name | Madison-nelson Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 324 W Superior St Ste 700, Duluth, Minnesota |
| Authorized Official Name and Position | Gary Madison (DENTIST) |
| Authorized Official Contact | 2187227831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison-nelson Family Dentistry 324 W Superior St Ste 700 Duluth MN 55802-1721 Ph: (218) 722-7831 | Madison-nelson Family Dentistry 324 W Superior St Ste 700 Duluth MN 55802-1721 Ph: (218) 722-7831 |
| NPI Number | 1619064557 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619064557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10521 (Minnesota) | Primary |
| 1223G0001X | Dentist - General Practice | D11583 (Minnesota) | Secondary |
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