| Pine Ridge Dental Pa | |
|
26273 2nd St E Suite A Zimmerman MN 55398 | |
| (763) 856-5100 | |
| (763) 856-0366 |
| Full Name | Pine Ridge Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26273 2nd St E, Zimmerman, Minnesota |
| Authorized Official Name and Position | Jennifer Andresen Narr (DENTIST) |
| Authorized Official Contact | 7638565100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Ridge Dental Pa Po Box 223 26273 2nd St E Suite A Zimmerman MN 55398 Ph: (763) 856-5100 | Pine Ridge Dental Pa 26273 2nd St E Suite A Zimmerman MN 55398 Ph: (763) 856-5100 |
| NPI Number | 1033206750 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033206750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pl Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12628 Fremont Ave, Zimmerman, MN 55398 Phone: 833-217-5959 |