| Minnesota Craniofacial Center Midway, P.a. | |
|
2550 University Ave W Suite 143n Saint Paul MN 55114-1052 | |
| (651) 642-1013 | |
| (651) 642-0947 |
| Full Name | Minnesota Craniofacial Center Midway, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 2550 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Roy Vernon Hakala (CEO OWNER) |
| Authorized Official Contact | 6516421013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Craniofacial Center Midway, P.a. 2550 University Avenue West Suite 143n Saint Paul MN 55114-1098 Ph: (651) 642-1013 | Minnesota Craniofacial Center Midway, P.a. 2550 University Ave W Suite 143n Saint Paul MN 55114-1052 Ph: (651) 642-1013 |
| NPI Number | 1285757864 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285757864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D8171 (Minnesota) | Primary |
Dr, David Nelson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1439 Arcade St, Saint Paul, MN 55106 Phone: 651-776-4835 | |
Associated Dentists Sholom Home Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1371 7th St W, Suite B, Saint Paul, MN 55102 Phone: 651-488-5557 Fax: 651-488-0014 | |
Family & Cosmetic Gentle Dentistry, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 Suburban Ave, Saint Paul, MN 55106 Phone: 651-209-3139 Fax: 651-209-3138 | |
Signature Orthodontics, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 7th St W Ste 102, Saint Paul, MN 55102 Phone: 651-426-9986 | |
Milk And Honey Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 County Road B E, Saint Paul, MN 55117 Phone: 651-488-2541 | |
Peterson & Peterson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Arcade St, Saint Paul, MN 55106 Phone: 651-774-2959 Fax: 651-774-1997 | |
Main Street Family Dental Care P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Main St, Suite 308, Saint Paul, MN 55102 Phone: 651-227-6561 Fax: 651-297-6852 |