| Northeast Dental, P.a. | |
|
4520 Centerville Rd Saint Paul MN 55127-3602 | |
| (651) 426-4799 | |
| (651) 426-8106 |
| Full Name | Northeast Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4520 Centerville Rd, Saint Paul, Minnesota |
| Authorized Official Name and Position | Robert L Keifer (PRESIDENT) |
| Authorized Official Contact | 6514264799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dental, P.a. 4520 Centerville Rd Saint Paul MN 55127-3602 Ph: (651) 426-4799 | Northeast Dental, P.a. 4520 Centerville Rd Saint Paul MN 55127-3602 Ph: (651) 426-4799 |
| NPI Number | 1043435951 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043435951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7820 (Minnesota) | Primary |
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