| Nicholas H. Psimos, Dds, Plc | |
|
1101 N Broadway Rochester MN 55906-6841 | |
| (507) 288-0126 | |
| (507) 529-0810 |
| Full Name | Nicholas H. Psimos, Dds, Plc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1101 N Broadway, Rochester, Minnesota |
| Authorized Official Name and Position | Nicholas H. Psimos (OWNER) |
| Authorized Official Contact | 5072880126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas H. Psimos, Dds, Plc 1101 N Broadway Rochester MN 55906-6841 Ph: (507) 288-0126 | Nicholas H. Psimos, Dds, Plc 1101 N Broadway Rochester MN 55906-6841 Ph: (507) 288-0126 |
| NPI Number | 1770533531 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 05/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770533531 | NPI | - | NPPES |
| 324222600 | Medicaid | MN | |
| 08865 | Other | IA | BCBS IA |
| 1B261PS | Other | MN | BCBS MN |
| 088575 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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