| Michael Henrickson Dds | |
|
14050 Nicollet Ave Ste 205 Burnsville MN 55337-5738 | |
| (952) 435-4177 | |
| Not Available |
| Full Name | Michael Henrickson Dds |
|---|---|
| Speciality | Clinic/Center |
| Location | 14050 Nicollet Ave Ste 205, Burnsville, Minnesota |
| Authorized Official Name and Position | Mike Ryan Henrickson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6517778900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Henrickson Dds 1560 Beam Ave Ste A Maplewood MN 55109-1171 Ph: () - | Michael Henrickson Dds 14050 Nicollet Ave Ste 205 Burnsville MN 55337-5738 Ph: (952) 435-4177 |
| NPI Number | 1992571293 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 4385087907 |
|---|---|
| Medicare Enrollment ID | O20240216001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992571293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Metro Dentalcare Children's Dentistry Burnsville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14336 Burnhaven Dr, Burnsville, MN 55306 Phone: 952-435-5715 | |
Northstar Dental Clinic Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd, Suite 120, Burnsville, MN 55337 Phone: 952-892-7700 Fax: 952-892-7767 | |
South Suburban Oral & Maxillofacial Surgeons Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 East Nicollet Boulevard, Suite 205, Burnsville, MN 55337 Phone: 952-435-0310 Fax: 952-435-0311 | |
Ekim Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E Nicollet Blvd, Suite 300, Burnsville, MN 55337 Phone: 952-435-0350 Fax: 952-435-0325 | |
Park Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 W Nicollet Blvd, Burnsville, MN 55337 Phone: 952-898-0990 Fax: 952-891-0230 | |
Oak Ridge Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 E Nicollet Blvd, Suite 310, Burnsville, MN 55337 Phone: 952-435-0355 Fax: 952-435-0390 | |
Global Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11995 County Road 11, 110, Burnsville, MN 55337 Phone: 201-377-8609 |