Nathan C. Jorgenson, Dds, Pa | |
717 S State St Ste 600 Fairmont MN 56031-4475 | |
(507) 235-9632 | |
(507) 235-5006 |
Full Name | Nathan C. Jorgenson, Dds, Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 717 S State St Ste 600, Fairmont, Minnesota |
Authorized Official Name and Position | Nathan Craig Jorgenson (OWNER) |
Authorized Official Contact | 5072359632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nathan C. Jorgenson, Dds, Pa 717 S State St Ste 600 Fairmont MN 56031-4475 Ph: (507) 235-9632 | Nathan C. Jorgenson, Dds, Pa 717 S State St Ste 600 Fairmont MN 56031-4475 Ph: (507) 235-9632 |
NPI Number | 1891882700 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891882700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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