| Main Street Dental Clinic Of New Richland Pllp | |
|
132 North Broadway New Richland MN 56072 | |
| (507) 463-0502 | |
| (507) 463-0769 |
| Full Name | Main Street Dental Clinic Of New Richland Pllp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 132 North Broadway, New Richland, Minnesota |
| Authorized Official Name and Position | John M Flor (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5075832141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Clinic Of New Richland Pllp 132 North Broadway Po Box 278 New Richland MN 56072 Ph: (507) 463-0502 | Main Street Dental Clinic Of New Richland Pllp 132 North Broadway New Richland MN 56072 Ph: (507) 463-0502 |
| NPI Number | 1316911415 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316911415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8069253 (Minnesota) | Primary |