| Nicollet Family Dentistry | |
|
2738 Winnetka Ave N Ste 100 New Hope MN 55427-2877 | |
| (612) 870-4646 | |
| Not Available |
| Full Name | Nicollet Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2738 Winnetka Ave N Ste 100, New Hope, Minnesota |
| Authorized Official Name and Position | Tracey Roseann Charles (DOCTOR/OWNER) |
| Authorized Official Contact | 6128704646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicollet Family Dentistry 2738 Winnetka Ave N Ste 100 New Hope MN 55427-2877 Ph: (612) 870-4646 | Nicollet Family Dentistry 2738 Winnetka Ave N Ste 100 New Hope MN 55427-2877 Ph: (612) 870-4646 |
| NPI Number | 1841915741 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841915741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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