| Oakwood Dental Group, Ltd | |
|
4100 Bellaire Ave White Bear Lake MN 55110-3910 | |
| (651) 426-0038 | |
| (651) 653-9923 |
| Full Name | Oakwood Dental Group, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4100 Bellaire Ave, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Joy M Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 6514260038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakwood Dental Group, Ltd 4100 Bellaire Ave White Bear Lake MN 55110-3910 Ph: (651) 426-0038 | Oakwood Dental Group, Ltd 4100 Bellaire Ave White Bear Lake MN 55110-3910 Ph: (651) 426-0038 |
| NPI Number | 1194847657 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194847657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11443 (Minnesota) | Primary |
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