| Smile Labs Services, Llc | |
|
867 Grand Avenue St. Paul MN 55105 | |
| (651) 222-5133 | |
| Not Available |
| Full Name | Smile Labs Services, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 867 Grand Avenue, St. Paul, Minnesota |
| Authorized Official Name and Position | Jennifer Eisenhuth (PRESIDENT) |
| Authorized Official Contact | 6514068100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Labs Services, Llc 3340 Sherman Court Eagan MN 55121 Ph: (651) 406-8100 | Smile Labs Services, Llc 867 Grand Avenue St. Paul MN 55105 Ph: (651) 222-5133 |
| NPI Number | 1265948285 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265948285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | MN10874 (Minnesota) | Primary |
Community Dental Care Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 Hawthorne Ave E, St. Paul, MN 55106 Phone: 651-774-2959 Fax: 651-774-1997 | |
Dental Associates Of St. Paul Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1790 7th Street E., St. Paul, MN 55119 Phone: 651-735-0595 Fax: 651-735-0521 | |
Grand Avenue Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Grand Avenue, St. Paul, MN 55105 Phone: 651-690-5262 |