| Northstar Dentistry | |
|
3930 Sunnyside Rd Edina MN 55424-1211 | |
| (412) 877-2288 | |
| Not Available |
| Full Name | Northstar Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3930 Sunnyside Rd, Edina, Minnesota |
| Authorized Official Name and Position | D Grant Lewis (CEO/PRESIDENT) |
| Authorized Official Contact | 4128772288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Dentistry 866 Trenton Ln N Plymouth MN 55441-4497 Ph: (412) 877-2288 | Northstar Dentistry 3930 Sunnyside Rd Edina MN 55424-1211 Ph: (412) 877-2288 |
| NPI Number | 1629885884 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629885884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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