| Metropolitan Periodontists, P.a. | |
|
825 Nicollet Mall Suite 210 Minneapolis MN 55402-2606 | |
| (612) 332-0869 | |
| (612) 332-2891 |
| Full Name | Metropolitan Periodontists, P.a. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 825 Nicollet Mall, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mark M Wilson (OWNER) |
| Authorized Official Contact | 6123320869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Periodontists, P.a. 825 Nicollet Mall Suite 210 Minneapolis MN 55402-2606 Ph: (612) 332-0869 | Metropolitan Periodontists, P.a. 825 Nicollet Mall Suite 210 Minneapolis MN 55402-2606 Ph: (612) 332-0869 |
| NPI Number | 1982775235 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982775235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 8580 (Minnesota) | Primary |
Nicollet Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6101 Nicollet Ave. So., Minneapolis, MN 55419 Phone: 612-866-8550 Fax: 612-866-9453 | |
Craig J Brandenburg Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Bloomington Ave, Minneapolis, MN 55417 Phone: 612-721-6233 Fax: 612-721-5723 | |
West River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4103 E Lake St, Minneapolis, MN 55406 Phone: 612-721-2424 Fax: 612-721-3054 | |
Minneapolis Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S 5th St Ste 1475, Minneapolis, MN 55402 Phone: 612-332-1255 Fax: 612-388-3721 |