| St. Cloud Technical College Community Dental Clinic | |
|
1540 Northway Dr Saint Cloud MN 56303-1240 | |
| (320) 308-5310 | |
| (320) 308-5055 |
| Full Name | St. Cloud Technical College Community Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1540 Northway Dr, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Melissa Lindgren (CLINIC COORDINATOR) |
| Authorized Official Contact | 3203085310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Cloud Technical College Community Dental Clinic 1540 Northway Dr Saint Cloud MN 56303-1240 Ph: (320) 308-5310 | St. Cloud Technical College Community Dental Clinic 1540 Northway Dr Saint Cloud MN 56303-1240 Ph: (320) 308-5310 |
| NPI Number | 1992821706 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992821706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7913 (Minnesota) | Primary |
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