| Nicollet Avenue Dental, Pllc | |
|
2701 Nicollet Ave Minneapolis MN 55408-1631 | |
| (612) 874-7674 | |
| (612) 874-1117 |
| Full Name | Nicollet Avenue Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2701 Nicollet Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Paul Thomas Huey (DENTIST, CO-OWNER) |
| Authorized Official Contact | 6128747674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicollet Avenue Dental, Pllc 2701 Nicollet Ave Minneapolis MN 55408-1631 Ph: (612) 874-7674 | Nicollet Avenue Dental, Pllc 2701 Nicollet Ave Minneapolis MN 55408-1631 Ph: (612) 874-7674 |
| NPI Number | 1538593843 |
|---|---|
| Provider Enumeration Date | 08/23/2013 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538593843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12946 (Minnesota) | Primary |
| 261QD0000X | Clinic/center - Dental | D12939 (Minnesota) | Secondary |
Nicollet Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6101 Nicollet Ave. So., Minneapolis, MN 55419 Phone: 612-866-8550 Fax: 612-866-9453 | |
Proactive Dental Clinic Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 E Lake St Ste 105, Minneapolis, MN 55408 Phone: 310-883-8932 | |
Craig J Brandenburg Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Bloomington Ave, Minneapolis, MN 55417 Phone: 612-721-6233 Fax: 612-721-5723 | |
Walker Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Bryant Ave S, Minneapolis, MN 55409 Phone: 612-827-5931 Fax: 612-827-8458 | |
Park Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 39th Ave Ne, 225, Minneapolis, MN 55421 Phone: 763-781-7475 Fax: 763-781-0828 | |
West River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4103 E Lake St, Minneapolis, MN 55406 Phone: 612-721-2424 Fax: 612-721-3054 | |
Minneapolis Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S 5th St Ste 1475, Minneapolis, MN 55402 Phone: 612-332-1255 Fax: 612-388-3721 |