| Park Dental Minnetonka | |
|
14525 Highway 7 Ste 125 Minnetonka MN 55345-3738 | |
| (952) 474-5622 | |
| Not Available |
| Full Name | Park Dental Minnetonka |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14525 Highway 7 Ste 125, Minnetonka, Minnesota |
| Authorized Official Name and Position | Shannon Hesse (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6517462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Minnetonka 2200 County Road C W Suite 2210 Roseville MN 55113-2504 Ph: (651) 633-0500 | Park Dental Minnetonka 14525 Highway 7 Ste 125 Minnetonka MN 55345-3738 Ph: (952) 474-5622 |
| NPI Number | 1669530101 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669530101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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