| Nomeland Dental Llc | |
|
412 Heritage Pl Faribault MN 55021-5248 | |
| (507) 334-7595 | |
| Not Available |
| Full Name | Nomeland Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 412 Heritage Pl, Faribault, Minnesota |
| Authorized Official Name and Position | Thamas Jason Nomeland (PRESIDENT) |
| Authorized Official Contact | 5073347595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nomeland Dental Llc 412 Heritage Pl Faribault MN 55021-5248 Ph: () - | Nomeland Dental Llc 412 Heritage Pl Faribault MN 55021-5248 Ph: (507) 334-7595 |
| NPI Number | 1184847568 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184847568 | NPI | - | NPPES |
| 1415467 | Other | MN | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11041 (Minnesota) | Primary |
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