| Modern Care Endodontics, Llc | |
|
18572 Joplin Avenue Lakeville MN 55044-4218 | |
| (952) 920-4400 | |
| (952) 882-8400 |
| Full Name | Modern Care Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 18572 Joplin Avenue, Lakeville, Minnesota |
| Authorized Official Name and Position | Jay David Simonton (ENDODONTIST) |
| Authorized Official Contact | 9529204400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Care Endodontics, Llc 18572 Joplin Avenue Lakeville MN 55044-4218 Ph: (952) 920-4400 | Modern Care Endodontics, Llc 18572 Joplin Avenue Lakeville MN 55044-4218 Ph: (952) 920-4400 |
| NPI Number | 1437403953 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437403953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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