| Skyway Dental Clinic | |
|
250 2nd Ave S. Suite 250 Minneapolis MN 55401 | |
| (612) 338-4122 | |
| (612) 338-1713 |
| Full Name | Skyway Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 250 2nd Ave S., Minneapolis, Minnesota |
| Authorized Official Name and Position | Margaret Craven Thompson (OWNER DENTIST) |
| Authorized Official Contact | 6123384122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyway Dental Clinic 250 2nd Ave S, Suite 250 Minneapolis MN 55401 Ph: (612) 338-4122 | Skyway Dental Clinic 250 2nd Ave S. Suite 250 Minneapolis MN 55401 Ph: (612) 338-4122 |
| NPI Number | 1144307232 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144307232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | D9274 (Minnesota) | Primary |
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