| Plymouth Dental Care Pc | |
|
4000 Annapolis Ln N Suite 103 Plymouth MN 55447-5480 | |
| (763) 551-0501 | |
| (612) 573-6687 |
| Full Name | Plymouth Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4000 Annapolis Ln N, Plymouth, Minnesota |
| Authorized Official Name and Position | P. Louis Michelich (PRESIDENT) |
| Authorized Official Contact | 7635510501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Dental Care Pc 4000 Annapolis Ln N Suite 103 Plymouth MN 55447-5480 Ph: (763) 551-0501 | Plymouth Dental Care Pc 4000 Annapolis Ln N Suite 103 Plymouth MN 55447-5480 Ph: (763) 551-0501 |
| NPI Number | 1730384280 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730384280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7115 (Minnesota) | Primary |
Smile Design Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3475 Plymouth Blvd, 100, Plymouth, MN 55447 Phone: 763-537-1238 Fax: 763-537-4627 | |
Roger Mondale, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10600 Old County Rd 15, Suite 120, Plymouth, MN 55441 Phone: 763-512-8500 Fax: 763-512-8592 | |
Lam Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Nathan Ln N, Plymouth, MN 55441 Phone: 763-544-0270 Fax: 763-544-0305 | |
Endodontic Professionals Pa Plymouth Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Hwy 169 N, Plymouth, MN 55441 Phone: 763-559-0859 Fax: 763-559-4356 | |
Justin T. Ostrem D.d.s. Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9655 Schmidt Lake Rd Ste 200, Plymouth, MN 55442 Phone: 763-536-1272 | |
Boger Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 Phone: 763-546-7707 Fax: 763-546-7713 | |
Four Seasons Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441 Phone: 763-559-2976 Fax: 763-559-4852 |