| Sand Prairie Dental | |
|
16991 198th Avenue Nw Big Lake MN 55309-0249 | |
| (763) 263-6350 | |
| (763) 263-0136 |
| Full Name | Sand Prairie Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16991 198th Avenue Nw, Big Lake, Minnesota |
| Authorized Official Name and Position | Roger J Bromaghim (OWNER) |
| Authorized Official Contact | 7632636350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sand Prairie Dental Po Box 249 Big Lake MN 55309-0249 Ph: (763) 263-6350 | Sand Prairie Dental 16991 198th Avenue Nw Big Lake MN 55309-0249 Ph: (763) 263-6350 |
| NPI Number | 1518141548 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518141548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9355 (Minnesota) | Primary |
The Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-263-2222 Fax: 763-263-5822 | |
Lake Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Rose Dr Nw, Suite 108, Big Lake, MN 55309 Phone: 763-262-0259 | |
Midwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Jefferson Blvd, Big Lake, MN 55309 Phone: 763-280-5711 Fax: 763-263-5822 | |
Central Minnesota Pediatric Dentists Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 Humboldt Dr Ste 102, Big Lake, MN 55309 Phone: 320-253-0272 Fax: 320-251-2661 | |
Reed D. Dill, D.d.s. P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Lake St N, Big Lake, MN 55309 Phone: 763-263-3262 Fax: 763-263-7998 | |
Park Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16991 198th Ave Nw, Big Lake, MN 55309 Phone: 763-263-6350 Fax: 763-263-0136 |