Pillager Country Dental Llc | |
727 Buckskin Ave W Pillager MN 56473 | |
(218) 746-4555 | |
(218) 746-4558 |
Full Name | Pillager Country Dental Llc |
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Speciality | Dentist - General Practice |
Location | 727 Buckskin Ave W, Pillager, Minnesota |
Authorized Official Name and Position | Daniel Edward Rose (DOCTOR/ OWNER) |
Authorized Official Contact | 2187464555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pillager Country Dental Llc 727 Buckskin Ave W. Pillager MN 56473 Ph: (218) 746-4555 | Pillager Country Dental Llc 727 Buckskin Ave W Pillager MN 56473 Ph: (218) 746-4555 |
NPI Number | 1558463869 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1558463869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D8709 (Minnesota) | Primary |
Pillager Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Buckskin Ave W, Pillager, MN 56473 Phone: 218-746-4555 |