| Minnesota Dental Professionals, P.c. | |
|
625 E Nicollet Blvd Ste 201 Burnsville MN 55337-6735 | |
| (952) 435-0300 | |
| Not Available |
| Full Name | Minnesota Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 625 E Nicollet Blvd Ste 201, Burnsville, Minnesota |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Dental Professionals, P.c. 625 E Nicollet Blvd Ste 201 Burnsville MN 55337-6735 Ph: () - | Minnesota Dental Professionals, P.c. 625 E Nicollet Blvd Ste 201 Burnsville MN 55337-6735 Ph: (952) 435-0300 |
| NPI Number | 1396340642 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396340642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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