| Senior Mobile Dental Minnesota Ltd | |
|
5201 Eden Ave Suite 50 Edina MN 55436-2316 | |
| (763) 545-7545 | |
| (952) 929-2067 |
| Full Name | Senior Mobile Dental Minnesota Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5201 Eden Ave, Edina, Minnesota |
| Authorized Official Name and Position | Patricia Michelle Vacha (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7635457545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Mobile Dental Minnesota Ltd 5201 Eden Ave Suite 50 Edina MN 55436-2316 Ph: (763) 545-7545 | Senior Mobile Dental Minnesota Ltd 5201 Eden Ave Suite 50 Edina MN 55436-2316 Ph: (763) 545-7545 |
| NPI Number | 1912303777 |
|---|---|
| Provider Enumeration Date | 11/06/2014 |
| Last Update Date | 11/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912303777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12696 (Minnesota) | Primary |
| 251V00000X | Voluntary Or Charitable | 20071454175 (Colorado) | Secondary |
David J Elasky Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 Parklawn Ste 101, Edina, MN 55435 Phone: 952-835-6000 Fax: 952-835-7679 | |
Edina Family Dental Assoc., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 Lincoln Dr, Edina, MN 55436 Phone: 952-935-3532 | |
Robert K. Peterson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 France Ave S, #110, Edina, MN 55435 Phone: 952-831-0414 Fax: 952-831-1116 | |
Seubert & Omlie Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6545 France Ave S Ste 585, Edina, MN 55435 Phone: 952-922-9119 | |
Orthodontic Partners Of Minnesota, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7450 France Ave S Ste 270, Edina, MN 55435 Phone: 952-926-2551 | |
Pdg,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Edinborough Way Ste 210, Edina, MN 55435 Phone: 952-831-1112 | |
Snoring And Sleep Apnea Dental Treatment Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 7225 Ohms Ln, Suite 180, Edina, MN 55439 Phone: 952-345-0290 Fax: 952-920-0105 |