| Minneapolis Dental | |
|
150 S 5th St Ste 1475 Minneapolis MN 55402-4212 | |
| (612) 332-1255 | |
| (612) 388-3721 |
| Full Name | Minneapolis Dental |
|---|---|
| Speciality | Dentist |
| Location | 150 S 5th St Ste 1475, Minneapolis, Minnesota |
| Authorized Official Name and Position | Lorrie K Hodd (DENTIST) |
| Authorized Official Contact | 6123321255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minneapolis Dental 150 S 5th St Ste 1475 Minneapolis MN 55402-4212 Ph: (612) 332-1255 | Minneapolis Dental 150 S 5th St Ste 1475 Minneapolis MN 55402-4212 Ph: (612) 332-1255 |
| NPI Number | 1033351457 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 03/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033351457 | NPI | - | NPPES |
| 411700790 | Other | MN | DELTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10117 (Minnesota) | Primary |
| 122300000X | Dentist | D7958 (Minnesota) | Secondary |
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