Northland Dental Partners, Pllc | |
2036 Robert St S West St Paul MN 55118-3923 | |
(651) 457-5762 | |
Not Available |
Full Name | Northland Dental Partners, Pllc |
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Speciality | Dentist - General Practice |
Location | 2036 Robert St S, West St Paul, 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 2036 Robert St S West St Paul MN 55118-3923 Ph: (651) 457-5762 | Northland Dental Partners, Pllc 2036 Robert St S West St Paul MN 55118-3923 Ph: (651) 457-5762 |
NPI Number | 1225771959 |
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Provider Enumeration Date | 04/20/2022 |
Last Update Date | 04/20/2022 |
Identifier | Type | State | Issuer |
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1225771959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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