| Progressive Dental | |
|
1036 1st Ave E Shakopee MN 55379 | |
| (952) 445-6622 | |
| (952) 314-9610 |
| Full Name | Progressive Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1036 1st Ave E, Shakopee, Minnesota |
| Authorized Official Name and Position | Ayesha Downs (OWNER) |
| Authorized Official Contact | 9524456220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental 1036 1st Ave E Shakopee MN 55379-1607 Ph: (952) 445-6622 | Progressive Dental 1036 1st Ave E Shakopee MN 55379 Ph: (952) 445-6622 |
| NPI Number | 1124529334 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124529334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12357 (Minnesota) | Primary |
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