| Professional Drive Dental Group P.a. | |
|
600 Professional Dr Northfield MN 55057-2755 | |
| (507) 645-5264 | |
| (507) 663-0303 |
| Full Name | Professional Drive Dental Group P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 Professional Dr, Northfield, Minnesota |
| Authorized Official Name and Position | Jerome L Appeldoorn (PRESIDENT) |
| Authorized Official Contact | 5076455264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Drive Dental Group P.a. 600 Professional Dr Northfield MN 55057-2755 Ph: (507) 645-5264 | Professional Drive Dental Group P.a. 600 Professional Dr Northfield MN 55057-2755 Ph: (507) 645-5264 |
| NPI Number | 1164446282 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164446282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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