| Northland Dental Partners, Pllc | |
|
13040 Riverdale Dr Nw Ste 600 Coon Rapids MN 55448-8419 | |
| (763) 323-3042 | |
| (763) 576-3139 |
| Full Name | Northland Dental Partners, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13040 Riverdale Dr Nw Ste 600, Coon Rapids, 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 13040 Riverdale Dr Nw Ste 600 Coon Rapids MN 55448-8419 Ph: (763) 323-3042 | Northland Dental Partners, Pllc 13040 Riverdale Dr Nw Ste 600 Coon Rapids MN 55448-8419 Ph: (763) 323-3042 |
| NPI Number | 1740938166 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740938166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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