| Orono Dental Care Pc | |
|
2765 Kelley Parkway Suite 140 Orono MN 55356 | |
| (952) 449-9494 | |
| (952) 449-9499 |
| Full Name | Orono Dental Care Pc |
|---|---|
| Speciality | Dentist |
| Location | 2765 Kelley Parkway, Orono, Minnesota |
| Authorized Official Name and Position | Brianna Brooke Hammer (PRESIDENT) |
| Authorized Official Contact | 9524499494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orono Dental Care Pc 2765 Kelley Parkway Suite 140 Orono MN 55356 Ph: (952) 449-9494 | Orono Dental Care Pc 2765 Kelley Parkway Suite 140 Orono MN 55356 Ph: (952) 449-9494 |
| NPI Number | 1700058690 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 12/03/2021 |
| Medicare PECOS PAC ID | 5698163590 |
|---|---|
| Medicare Enrollment ID | O20211026002489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700058690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9161 (Minnesota) | Primary |
Orono Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2765 Kelley Pkwy Ste 140, Orono, MN 55356 Phone: 952-449-9494 Fax: 952-449-9499 | |
Christina Mccullough Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2455 Shadywood Road, Orono, MN 55331 Phone: 952-471-9205 Fax: 952-471-0496 |