|
| |
|
3475 Plymouth Blvd Suite 300 Plymouth MN 55447 | |
| (763) 559-0559 | |
| (763) 559-0001 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3475 Plymouth Blvd, Plymouth, Minnesota |
| Authorized Official Name and Position | Rebecca Craig (FINANCIAL COORD) |
| Authorized Official Contact | 6517507273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3475 Plymouth Blvd Suite 300 Plymouth MN 55447 Ph: (763) 559-0559 | 3475 Plymouth Blvd Suite 300 Plymouth MN 55447 Ph: (763) 559-0559 |
| NPI Number | 1538216411 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538216411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Smile Design Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3475 Plymouth Blvd, 100, Plymouth, MN 55447 Phone: 763-537-1238 Fax: 763-537-4627 | |
Lam Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Nathan Ln N, Plymouth, MN 55441 Phone: 763-544-0270 Fax: 763-544-0305 | |
Endodontic Professionals Pa Plymouth Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Hwy 169 N, Plymouth, MN 55441 Phone: 763-559-0859 Fax: 763-559-4356 | |
Justin T. Ostrem D.d.s. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9655 Schmidt Lake Rd Ste 200, Plymouth, MN 55442 Phone: 763-536-1272 | |