| Pine River Dental Arts, P.c. | |
|
203 Park Ave Pine River MN 56474 | |
| (218) 587-4437 | |
| (218) 587-4479 |
| Full Name | Pine River Dental Arts, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 Park Ave, Pine River, Minnesota |
| Authorized Official Name and Position | Jaime Lyn Preble (OWNER) |
| Authorized Official Contact | 2185874437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine River Dental Arts, P.c. Po Box 650 Pine River MN 56474-0650 Ph: (218) 587-4437 | Pine River Dental Arts, P.c. 203 Park Ave Pine River MN 56474 Ph: (218) 587-4437 |
| NPI Number | 1962851071 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962851071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D13283 (Minnesota) | Primary |
Pine River Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave W, Pine River, MN 56474 Phone: 218-587-4438 | |
Pine River Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave W, Pine River, MN 56474 Phone: 218-587-4437 |