| Pdg, Pa | |
|
906 Woodland Ave Duluth MN 55812-1113 | |
| (218) 606-1040 | |
| (218) 606-1060 |
| Full Name | Pdg, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 906 Woodland Ave, Duluth, Minnesota |
| Authorized Official Name and Position | Shannon Hesse (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 6517462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdg, Pa 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | Pdg, Pa 906 Woodland Ave Duluth MN 55812-1113 Ph: (218) 606-1040 |
| NPI Number | 1144780420 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144780420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dental Specialist Of Minnesota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 W Superior St Ste 824, Duluth, MN 55802 Phone: 218-727-1182 | |
Richard W Oase Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 W Superior St, Suite 601, Duluth, MN 55802 Phone: 218-727-2349 Fax: 218-727-2531 | |
Blue Water Oral And Facial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E 1st St Ste 108, Duluth, MN 55805 Phone: 218-722-1854 Fax: 218-722-6424 | |
Mount Royal Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Woodland Ave, Duluth, MN 55803 Phone: 218-464-5222 Fax: 218-464-5229 | |
Chester Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 E 1st St, Duluth, MN 55805 Phone: 218-724-1332 Fax: 218-724-2184 | |
Daniel J Loban Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 E Central Entrance, Duluth, MN 55811 Phone: 218-722-1715 Fax: 218-727-3217 |