| Northstar Dental Clinic | |
|
675 E Nicollet Blvd Ste 120 Burnsville MN 55337-6748 | |
| (952) 892-7700 | |
| Not Available |
| Full Name | Northstar Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 675 E Nicollet Blvd Ste 120, Burnsville, Minnesota |
| Authorized Official Name and Position | Sarah Louise Carlson (OWNER) |
| Authorized Official Contact | 6514724713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Dental Clinic 350 Main St N Unit 404 Stillwater MN 55082-6755 Ph: (651) 472-4713 | Northstar Dental Clinic 675 E Nicollet Blvd Ste 120 Burnsville MN 55337-6748 Ph: (952) 892-7700 |
| NPI Number | 1821498858 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821498858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12115 (Minnesota) | Primary |
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