St. James Family Dentistry | |
504 2nd Ave S Saint James MN 56081-1737 | |
(507) 375-4611 | |
(507) 375-4989 |
Full Name | St. James Family Dentistry |
---|---|
Speciality | Dentist |
Location | 504 2nd Ave S, Saint James, Minnesota |
Authorized Official Name and Position | Sean Patrick Vostad (DENTIST) |
Authorized Official Contact | 5072573800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. James Family Dentistry 504 2nd Ave S Po Box 515 Saint James MN 56081-1737 Ph: (507) 375-4611 | St. James Family Dentistry 504 2nd Ave S Saint James MN 56081-1737 Ph: (507) 375-4611 |
NPI Number | 1689952038 |
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Provider Enumeration Date | 08/02/2011 |
Last Update Date | 08/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689952038 | NPI | - | NPPES |
1245529650 | Other | MN | NPI |
1528138948 | Other | MN | NPI |
1770653446 | Other | MN | NPI |
1649340050 | Other | MN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D9088 (Minnesota) | Primary |
122300000X | Dentist | D11770 (Minnesota) | Secondary |
122300000X | Dentist | D12980 (Minnesota) | Secondary |
Youngren Family Dental Care Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 2nd Ave S, Saint James, MN 56081 Phone: 507-375-4611 Fax: 507-375-4989 |