Smiles On Seventh, Ltd. | |
2390 7th St W Saint Paul MN 55116-2800 | |
(651) 699-1234 | |
(651) 699-7715 |
Full Name | Smiles On Seventh, Ltd. |
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Speciality | Clinic/center - Dental |
Location | 2390 7th St W, Saint Paul, Minnesota |
Authorized Official Name and Position | Ann Elizabeth Jennen (DENTIST) |
Authorized Official Contact | 6516991234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiles On Seventh, Ltd. 2390 7th St W Saint Paul MN 55116-2800 Ph: (651) 699-1234 | Smiles On Seventh, Ltd. 2390 7th St W Saint Paul MN 55116-2800 Ph: (651) 699-1234 |
NPI Number | 1821228347 |
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Provider Enumeration Date | 07/17/2009 |
Last Update Date | 07/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821228347 | NPI | - | NPPES |
0316022000 | Medicaid | MN | |
0316022000 | Other | MN | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D11243 (Minnesota) | Primary |
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