| Main Street Dental Care | |
|
315 N 1st St Montevideo MN 56265-1405 | |
| (320) 269-6406 | |
| (320) 269-6408 |
| Full Name | Main Street Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 315 N 1st St, Montevideo, Minnesota |
| Authorized Official Name and Position | John Thomas Powers (OWNER/PRESIDENT) |
| Authorized Official Contact | 3202696406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Care 315 N 1st St Montevideo MN 56265-1405 Ph: (320) 269-6406 | Main Street Dental Care 315 N 1st St Montevideo MN 56265-1405 Ph: (320) 269-6406 |
| NPI Number | 1437421708 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437421708 | NPI | - | NPPES |
| 6885209-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8597 (Minnesota) | Primary |
Main Street Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 South 1st Street, Montevideo, MN 56265 Phone: 320-269-6406 Fax: 320-269-6408 | |
Montevideo Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Legion Dr Ste 2, Montevideo, MN 56265 Phone: 320-269-6416 Fax: 320-269-8136 | |
West Central Smiles Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 1/2 N. First St., Montevideo, MN 56265 Phone: 320-235-3102 |