Shetek Dental Care | |
106 2nd St Nw Fulda MN 56131 | |
(507) 425-2276 | |
(507) 425-2769 |
Full Name | Shetek Dental Care |
---|---|
Speciality | Dentist |
Location | 106 2nd St Nw, Fulda, Minnesota |
Authorized Official Name and Position | Narla Norine Hulstein (CLINIC MANAGER) |
Authorized Official Contact | 5078361000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shetek Dental Care 106 2nd St Nw Fulda MN 56131-1101 Ph: (507) 425-2276 | Shetek Dental Care 106 2nd St Nw Fulda MN 56131 Ph: (507) 425-2276 |
NPI Number | 1427455062 |
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Provider Enumeration Date | 11/25/2014 |
Last Update Date | 11/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427455062 | NPI | - | NPPES |
1629187364 | Medicaid | MN | |
1881639201 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12229 (Minnesota) | Secondary |
122300000X | Dentist | 8209 (Minnesota) | Primary |