| Northland Dental Partners, Pllc | |
|
4255 Pheasant Ridge Dr Ne Ste 407 Blaine MN 55449-5066 | |
| (763) 225-6100 | |
| Not Available |
| Full Name | Northland Dental Partners, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4255 Pheasant Ridge Dr Ne Ste 407, Blaine, Minnesota |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Dental Partners, Pllc 4255 Pheasant Ridge Dr Ne Ste 407 Blaine MN 55449-5066 Ph: (763) 225-6100 | Northland Dental Partners, Pllc 4255 Pheasant Ridge Dr Ne Ste 407 Blaine MN 55449-5066 Ph: (763) 225-6100 |
| NPI Number | 1144978560 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144978560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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