| Park Dental Plymouth Lakes | |
|
1525 County Road 101 N Plymouth MN 55447-2707 | |
| (763) 475-2829 | |
| Not Available |
| Full Name | Park Dental Plymouth Lakes |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1525 County Road 101 N, Plymouth, 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 Plymouth Lakes 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | Park Dental Plymouth Lakes 1525 County Road 101 N Plymouth MN 55447-2707 Ph: (763) 475-2829 |
| NPI Number | 1366096513 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366096513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Smile Design Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3475 Plymouth Blvd, 100, Plymouth, MN 55447 Phone: 763-537-1238 Fax: 763-537-4627 | |
Roger Mondale, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10600 Old County Rd 15, Suite 120, Plymouth, MN 55441 Phone: 763-512-8500 Fax: 763-512-8592 | |
Lam Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Nathan Ln N, Plymouth, MN 55441 Phone: 763-544-0270 Fax: 763-544-0305 | |
Endodontic Professionals Pa Plymouth Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Hwy 169 N, Plymouth, MN 55441 Phone: 763-559-0859 Fax: 763-559-4356 | |
Justin T. Ostrem D.d.s. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9655 Schmidt Lake Rd Ste 200, Plymouth, MN 55442 Phone: 763-536-1272 | |
Boger Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 Phone: 763-546-7707 Fax: 763-546-7713 | |
Four Seasons Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441 Phone: 763-559-2976 Fax: 763-559-4852 |