| Ridges Family Dental Pllc | |
|
50 Mcandrews Rd E Burnsville MN 55337-5718 | |
| (952) 892-5050 | |
| Not Available |
| Full Name | Ridges Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 50 Mcandrews Rd E, Burnsville, Minnesota |
| Authorized Official Name and Position | Todd Alan Porter (DDS, OWNER) |
| Authorized Official Contact | 9528925050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridges Family Dental Pllc 50 Mcandrews Rd E Burnsville MN 55337-5718 Ph: (952) 892-5050 | Ridges Family Dental Pllc 50 Mcandrews Rd E Burnsville MN 55337-5718 Ph: (952) 892-5050 |
| NPI Number | 1629521893 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629521893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11535 (Minnesota) | Primary |
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