| Blue Water Oral And Facial Surgery | |
|
505 S 12th Ave W Ste 2 Virginia MN 55792-2001 | |
| (218) 741-0894 | |
| (218) 741-4140 |
| Full Name | Blue Water Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 505 S 12th Ave W Ste 2, Virginia, 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 505 S 12th Ave W Ste 2 Virginia MN 55792-2001 Ph: (218) 741-0894 | Blue Water Oral And Facial Surgery 505 S 12th Ave W Ste 2 Virginia MN 55792-2001 Ph: (218) 741-0894 |
| NPI Number | 1417042367 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417042367 | NPI | - | NPPES |
| 208722700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Range Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Chestnut St, Suite 200, Virginia, MN 55792 Phone: 218-741-0089 | |
Dental Associates, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N 3rd Ave, Virginia, MN 55792 Phone: 218-741-9251 Fax: 218-741-1747 | |
Virginia Family Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 4th St N, Virginia, MN 55792 Phone: 218-741-0405 Fax: 218-741-1445 | |
Dennis L Carlson Family Dentistry Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 W Chestnut St, 200 Tini Square Bldg, Virginia, MN 55792 Phone: 218-741-0089 | |
Virginia-gilbert Family Dental P.a Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612-13th. St. So., Virginia, MN 55792 Phone: 218-741-0405 Fax: 218-741-1445 | |
Bassing & Bassing, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 1/2 Chestnut St, Virginia, MN 55792 Phone: 218-741-0203 |