| Prior Lake Orthodontics | |
|
5116 Gateway Street Se #103 Suite #103 Prior Lake MN 55372 | |
| (952) 447-6088 | |
| (952) 447-6099 |
| Full Name | Prior Lake Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5116 Gateway Street Se #103, Prior Lake, Minnesota |
| Authorized Official Name and Position | Joseph Samuel Basile (ORTHODONTIST) |
| Authorized Official Contact | 9524545345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prior Lake Orthodontics 5116 Gateway St. S.e. Suite 103 Prior Lake MN 55372 Ph: (952) 447-6088 | Prior Lake Orthodontics 5116 Gateway Street Se #103 Suite #103 Prior Lake MN 55372 Ph: (952) 447-6088 |
| NPI Number | 1679618326 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679618326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | MN10983 (Minnesota) | Primary |
Prior Lake Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14120 Commerce Ave, Suite #300, Prior Lake, MN 55372 Phone: 952-447-1080 Fax: 952-447-0376 | |
Block Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14070 Commerce Ave Ne, Suite 100, Prior Lake, MN 55372 Phone: 952-440-3222 Fax: 952-440-3239 | |
Dr. Howard E. Olson Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15870 Franklin Trl Se, Prior Lake, MN 55372 Phone: 952-447-4463 | |
Dds House Call, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8521 Valley View Ct, Prior Lake, MN 55372 Phone: 952-846-7840 | |
Oaks Dental Systems, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14070 Commerce Ave Ne Ste 100, Prior Lake, MN 55372 Phone: 952-461-4646 | |
Elan Dental Arts, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16154 Main Ave Se, Suite 110a, Prior Lake, MN 55372 Phone: 952-447-6290 Fax: 952-447-6292 | |
Belland Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4667 Dakota St Se, Prior Lake, MN 55372 Phone: 952-447-6054 |