Op Orthodontics Of Minnesota Pllc | |
250 Roosevelt St Ironwood MI 49938-1737 | |
(218) 460-5417 | |
Not Available |
Full Name | Op Orthodontics Of Minnesota Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 250 Roosevelt St, Ironwood, Michigan |
Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
Authorized Official Contact | 6128590444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Op Orthodontics Of Minnesota Pllc 250 Roosevelt St Ironwood MI 49938-1737 Ph: (218) 460-5417 | Op Orthodontics Of Minnesota Pllc 250 Roosevelt St Ironwood MI 49938-1737 Ph: (218) 460-5417 |
NPI Number | 1083372031 |
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Provider Enumeration Date | 12/07/2021 |
Last Update Date | 12/07/2021 |
Identifier | Type | State | Issuer |
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1083372031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Thomas W Herfort Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 N Harrison St, Woodlands Professional Building, Ironwood, MI 49938 Phone: 906-932-1332 Fax: 906-932-4337 | |
Stanley W. Gresham Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 E Aurora St, Ironwood, MI 49938 Phone: 906-932-2730 Fax: 906-932-5832 |