Northland Dental Partners, Pllc | |
20143 Idealic Ave Lakeville MN 55044-6343 | |
(952) 303-7012 | |
Not Available |
Full Name | Northland Dental Partners, Pllc |
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Speciality | Dentist - General Practice |
Location | 20143 Idealic Ave, Lakeville, 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 |
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Northland Dental Partners, Pllc 20143 Idealic Ave Lakeville MN 55044-6343 Ph: (952) 303-7012 | Northland Dental Partners, Pllc 20143 Idealic Ave Lakeville MN 55044-6343 Ph: (952) 303-7012 |
NPI Number | 1265180699 |
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Provider Enumeration Date | 03/15/2022 |
Last Update Date | 03/15/2022 |
Identifier | Type | State | Issuer |
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1265180699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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