Riverdale Pediatric Dentistry P.a. | |
3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1006 | |
(763) 767-1524 | |
(763) 767-1528 |
Full Name | Riverdale Pediatric Dentistry P.a. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3585 124th Ave Nw, Coon Rapids, Minnesota |
Authorized Official Name and Position | Darcy Jay Rindelaub (PEDIATRIC DENTIST) |
Authorized Official Contact | 7637671524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Riverdale Pediatric Dentistry P.a. 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1006 Ph: (763) 767-1524 | Riverdale Pediatric Dentistry P.a. 3585 124th Ave Nw Ste 400 Coon Rapids MN 55433-1006 Ph: (763) 767-1524 |
NPI Number | 1053690198 |
---|---|
Provider Enumeration Date | 08/07/2011 |
Last Update Date | 08/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053690198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | D11365 (Minnesota) | Primary |
Minnesota Dental Professionals, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11237 Foley Blvd Nw, Coon Rapids, MN 55448 Phone: 763-757-1234 | |
Osage Dental Associates Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11441 Osage St Nw, Coon Rapids, MN 55433 Phone: 763-757-6600 Fax: 763-757-3693 |