| Minnesota Dental Professionals, P.c. | |
|
654 Central Ave E Saint Michael MN 55376-9632 | |
| (612) 225-2502 | |
| Not Available |
| Full Name | Minnesota Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 654 Central Ave E, Saint Michael, Minnesota |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Dental Professionals, P.c. 654 Central Ave E Saint Michael MN 55376-9632 Ph: (612) 225-2502 | Minnesota Dental Professionals, P.c. 654 Central Ave E Saint Michael MN 55376-9632 Ph: (612) 225-2502 |
| NPI Number | 1447896733 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447896733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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