| Roger Grandgenett Dds Pa | |
|
621 E 7th St Blue Earth MN 56013-2516 | |
| (507) 526-2170 | |
| (507) 526-7437 |
| Full Name | Roger Grandgenett Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 621 E 7th St, Blue Earth, Minnesota |
| Authorized Official Name and Position | Roger Henry Grandgenett (OWNER) |
| Authorized Official Contact | 5075262170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Grandgenett Dds Pa 621 E 7th St Blue Earth MN 56013-2516 Ph: (507) 526-2170 | Roger Grandgenett Dds Pa 621 E 7th St Blue Earth MN 56013-2516 Ph: (507) 526-2170 |
| NPI Number | 1003086810 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003086810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10869 (Minnesota) | Primary |
John D. Sawyer D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N Main St, Blue Earth, MN 56013 Phone: 507-526-3111 Fax: 507-526-3140 | |
Blue Earth Family Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 S Galbraith St, Blue Earth, MN 56013 Phone: 507-526-3111 |