| North Branch Dental | |
|
6460 Main St North Branch MN 55056-7030 | |
| (651) 674-7096 | |
| (651) 674-7097 |
| Full Name | North Branch Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6460 Main St, North Branch, Minnesota |
| Authorized Official Name and Position | Geoffrey David Archibald (VICE PRESIDENT) |
| Authorized Official Contact | 6122401458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Branch Dental 1541 Jefferson St Ne Minneapolis MN 55413-1416 Ph: (612) 623-3079 | North Branch Dental 6460 Main St North Branch MN 55056-7030 Ph: (651) 674-7096 |
| NPI Number | 1538363874 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538363874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12408 (Minnesota) | Primary |
North Branch Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6460 Main St, North Branch, MN 55056 Phone: 651-674-7096 Fax: 651-203-7373 | |
North Branch Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6460 Main St, North Branch, MN 55056 Phone: 651-674-7096 | |
Shawn T Mccullough Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6041 Main St Ste C, North Branch, MN 55056 Phone: 651-674-4811 | |
Clear Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6364 Main St, North Branch, MN 55056 Phone: 651-674-8128 |