| Prairie Dental Group | |
|
6608 Flying Cloud Dr Eden Prairie MN 55344-3381 | |
| (952) 903-5000 | |
| (952) 944-0642 |
| Full Name | Prairie Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6608 Flying Cloud Dr, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Caryl Leach (ADMINISTRATOR) |
| Authorized Official Contact | 9529035000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Dental Group 6608 Flying Cloud Dr Eden Prairie MN 55344-3381 Ph: (952) 903-5000 | Prairie Dental Group 6608 Flying Cloud Dr Eden Prairie MN 55344-3381 Ph: (952) 903-5000 |
| NPI Number | 1104057975 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 07/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104057975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
Omega Dental Care, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 Dell Rd, Eden Prairie, MN 55346 Phone: 952-460-9100 | |
Brilliant Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7727 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-944-2052 | |
Dr. Angela Wandera And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8785 Columbine Rd, Eden Prairie, MN 55344 Phone: 952-941-7393 Fax: 952-941-2162 | |
Group Health Plan, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8455 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-883-9040 Fax: 952-941-8857 | |
Anderson Lake Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8775 Columbine Rd, Eden Prairie, MN 55344 Phone: 952-942-0823 | |
Parkway Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16518 W 78th St, Eden Prairie, MN 55346 Phone: 952-937-2137 |