| Park Dental | |
|
1835 Cty Rd C-west Suite 220 Roseville MN 55113-1343 | |
| (651) 636-2123 | |
| Not Available |
| Full Name | Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1835 Cty Rd C-west, Roseville, Minnesota |
| Authorized Official Name and Position | John Gulon (PRESIDENT) |
| Authorized Official Contact | 6516330500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental 2200 County Road C W Suite 2210 Roseville MN 55113-2504 Ph: (651) 746-2804 | Park Dental 1835 Cty Rd C-west Suite 220 Roseville MN 55113-1343 Ph: (651) 636-2123 |
| NPI Number | 1104985456 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104985456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Emergency Dental Care Usa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 432, Roseville, MN 55113 Phone: 651-778-9911 Fax: 651-633-0146 | |
Northland Dental Partners, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2690 Snelling Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-1834 Fax: 651-633-0995 | |
The Dental Specialists - Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 County Road C W, Suite 2210, Roseville, MN 55113 Phone: 651-633-0500 Fax: 651-636-6894 | |
Michael J. Petersen, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Old Highway 8 Ste 303, Roseville, MN 55113 Phone: 651-636-0840 | |
Facial Pain Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Suite 200, Roseville, MN 55113 Phone: 651-209-7088 Fax: 651-636-1118 | |
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