| Saint Anthony Village Dentistry | |
|
2525 33rd Ave Ne St Anthony MN 55418-1539 | |
| (612) 781-9270 | |
| (612) 767-3490 |
| Full Name | Saint Anthony Village Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2525 33rd Ave Ne, St Anthony, Minnesota |
| Authorized Official Name and Position | Cory John Larson (DENTIST) |
| Authorized Official Contact | 6127892853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Anthony Village Dentistry 1632 Washington St Ne Minneapolis MN 55413-1336 Ph: (612) 789-2853 | Saint Anthony Village Dentistry 2525 33rd Ave Ne St Anthony MN 55418-1539 Ph: (612) 781-9270 |
| NPI Number | 1528535788 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528535788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
St. Anthony Village Dental Care, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 33rd Ave Ne, St Anthony, MN 55418 Phone: 612-781-9270 |