People's Center Dental Clinic | |
3152 Minnehaha Avenue Minneapolis MN 55406-1934 | |
(612) 332-4973 | |
(612) 238-3534 |
Full Name | People's Center Dental Clinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3152 Minnehaha Avenue, Minneapolis, Minnesota |
Authorized Official Name and Position | Sahra Noor (CEO) |
Authorized Official Contact | 6123324973 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
People's Center Dental Clinic 425 20th Avenue South Minneapolis MN 55454-4400 Ph: (612) 332-4973 | People's Center Dental Clinic 3152 Minnehaha Avenue Minneapolis MN 55406-1934 Ph: (612) 332-4973 |
NPI Number | 1871809152 |
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Provider Enumeration Date | 08/25/2010 |
Last Update Date | 06/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871809152 | NPI | - | NPPES |
877361100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Minnesota) | Primary |
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