| Minnesota Dental Professionals, P.c. | |
|
12401 Nicollet Ave Ste 2 Burnsville MN 55337-4860 | |
| (952) 890-4255 | |
| Not Available |
| Full Name | Minnesota Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12401 Nicollet Ave Ste 2, 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. 12401 Nicollet Ave Ste 2 Burnsville MN 55337-4860 Ph: () - | Minnesota Dental Professionals, P.c. 12401 Nicollet Ave Ste 2 Burnsville MN 55337-4860 Ph: (952) 890-4255 |
| NPI Number | 1437754215 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437754215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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