| Stillwater Modern Dentistry. Pc | |
|
13331 60th St N Oak Park Heights MN 55082-1287 | |
| (651) 352-4629 | |
| (651) 359-2935 |
| Full Name | Stillwater Modern Dentistry. Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13331 60th St N, Oak Park Heights, Minnesota |
| Authorized Official Name and Position | Krista Jean Koehler (OWNER) |
| Authorized Official Contact | 6513524629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Modern Dentistry. Pc Po Box 920050 Dallas TX 75392-0050 Ph: () - | Stillwater Modern Dentistry. Pc 13331 60th St N Oak Park Heights MN 55082-1287 Ph: (651) 352-4629 |
| NPI Number | 1629774138 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629774138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Stillwater Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13481 60th St N Ste 100, Oak Park Heights, MN 55082 Phone: 651-351-0890 Fax: 651-351-1922 |