| New Brighton Family Dentistry, Pllc | |
|
2459 15th St Nw Ste C New Brighton MN 55112-5595 | |
| (651) 631-3100 | |
| Not Available |
| Full Name | New Brighton Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2459 15th St Nw Ste C, New Brighton, Minnesota |
| Authorized Official Name and Position | Grayson West (OWNER) |
| Authorized Official Contact | 6516313100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Brighton Family Dentistry, Pllc 2459 15th St Nw Ste C New Brighton MN 55112-5595 Ph: (651) 631-3100 | New Brighton Family Dentistry, Pllc 2459 15th St Nw Ste C New Brighton MN 55112-5595 Ph: (651) 631-3100 |
| NPI Number | 1306426317 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306426317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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