| Montevideo Family Dentistry Pa | |
|
629 Legion Dr Ste 2 Montevideo MN 56265-1729 | |
| (320) 269-6416 | |
| (320) 269-8136 |
| Full Name | Montevideo Family Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 629 Legion Dr Ste 2, Montevideo, Minnesota |
| Authorized Official Name and Position | James Kevin Zenk (PRESIDENT MONTEVIDEO FAMILY DENTIST) |
| Authorized Official Contact | 3202696416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montevideo Family Dentistry Pa 629 Legion Dr Ste 2 Montevideo MN 56265-1729 Ph: (320) 269-6416 | Montevideo Family Dentistry Pa 629 Legion Dr Ste 2 Montevideo MN 56265-1729 Ph: (320) 269-6416 |
| NPI Number | 1194801910 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194801910 | NPI | - | NPPES |
| 657524200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Main Street Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 South 1st Street, Montevideo, MN 56265 Phone: 320-269-6406 Fax: 320-269-6408 | |
Main Street Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N 1st St, Montevideo, MN 56265 Phone: 320-269-6406 Fax: 320-269-6408 | |
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