| Northwoods Dental | |
|
15600 36th Ave N Suite 270 Plymouth MN 55446-3369 | |
| (763) 557-0911 | |
| (763) 557-5157 |
| Full Name | Northwoods Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15600 36th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | Pamela J Kent (OFFICE MANAGER) |
| Authorized Official Contact | 7635570911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Dental 15600 36th Ave N Suite 270 Plymouth MN 55446-3369 Ph: (763) 557-0911 | Northwoods Dental 15600 36th Ave N Suite 270 Plymouth MN 55446-3369 Ph: (763) 557-0911 |
| NPI Number | 1215083183 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215083183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10011 (Minnesota) | Primary |
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