| Shamblott Family Dental Center Pllc | |
|
400 Selby Ave Saint Paul MN 55102-4508 | |
| (651) 222-6880 | |
| Not Available |
| Full Name | Shamblott Family Dental Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 400 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamblott Family Dental Center Pllc 400 Selby Ave Saint Paul MN 55102-4508 Ph: (651) 222-6880 | Shamblott Family Dental Center Pllc 400 Selby Ave Saint Paul MN 55102-4508 Ph: (651) 222-6880 |
| NPI Number | 1285350736 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285350736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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