| Blue Water Oral And Facial Surgery | |
|
1000 E 1st St Ste 108 Duluth MN 55805-2297 | |
| (218) 722-1854 | |
| (218) 722-6424 |
| Full Name | Blue Water Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1000 E 1st St Ste 108, Duluth, Minnesota |
| Authorized Official Name and Position | Katherine Anne Lafleur (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2187221854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Oral And Facial Surgery 1000 E 1st St Ste 108 Duluth MN 55805-2297 Ph: (218) 722-1854 | Blue Water Oral And Facial Surgery 1000 E 1st St Ste 108 Duluth MN 55805-2297 Ph: (218) 722-1854 |
| NPI Number | 1104911056 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104911056 | NPI | - | NPPES |
| 998722300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Dental Specialist Of Minnesota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 W Superior St Ste 824, Duluth, MN 55802 Phone: 218-727-1182 | |
Richard W Oase Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 W Superior St, Suite 601, Duluth, MN 55802 Phone: 218-727-2349 Fax: 218-727-2531 | |
Mount Royal Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Woodland Ave, Duluth, MN 55803 Phone: 218-464-5222 Fax: 218-464-5229 | |
Pdg, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Woodland Ave, Duluth, MN 55812 Phone: 218-606-1040 Fax: 218-606-1060 | |
Chester Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 E 1st St, Duluth, MN 55805 Phone: 218-724-1332 Fax: 218-724-2184 | |
Daniel J Loban Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 E Central Entrance, Duluth, MN 55811 Phone: 218-722-1715 Fax: 218-727-3217 |