| Northern Lakes Dental, Ltd. | |
|
1108 Western Ave Fergus Falls MN 56537-4808 | |
| (218) 736-4000 | |
| (218) 736-0766 |
| Full Name | Northern Lakes Dental, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1108 Western Ave, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Scott Alan Wagnild (PRESIDENT) |
| Authorized Official Contact | 2187364000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lakes Dental, Ltd. 1108 Western Ave Fergus Falls MN 56537-4808 Ph: (218) 736-4000 | Northern Lakes Dental, Ltd. 1108 Western Ave Fergus Falls MN 56537-4808 Ph: (218) 736-4000 |
| NPI Number | 1003035775 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003035775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10677 (Minnesota) | Primary |
Northern Lakes Dental - Riverfront, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-736-5627 Fax: 218-736-6955 | |
Scott Wagnild Dds,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Western Ave, Fergus Falls, MN 56537 Phone: 218-736-4000 Fax: 218-736-0766 | |
Lakes Area Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 E Lincoln Ave, Fergus Falls, MN 56537 Phone: 320-766-0085 | |
Jayme Mace Dmd Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-3179 Fax: 218-737-0618 | |
Fergus Falls Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Pebble Lake Rd, Fergus Falls, MN 56537 Phone: 218-739-7254 | |
Whoolery Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 E Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-739-2217 Fax: 218-739-2443 |