Sandstone Dental Office | |
501 N Commercial Ave Sandstone MN 55072-0589 | |
(320) 245-2208 | |
(320) 245-2208 |
Full Name | Sandstone Dental Office |
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Speciality | Dentist |
Location | 501 N Commercial Ave, Sandstone, Minnesota |
Authorized Official Name and Position | Michael Maurice Bennett (OWNER DENTIST) |
Authorized Official Contact | 3202452208 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sandstone Dental Office 501 N Commercial Ave Po Box 589 Sandstone MN 55072-0589 Ph: (320) 245-2208 | Sandstone Dental Office 501 N Commercial Ave Sandstone MN 55072-0589 Ph: (320) 245-2208 |
NPI Number | 1053427237 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1053427237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8046 (Minnesota) | Primary |