| Stone Gate Dental Associates Inc. | |
|
1521 Northway Dr Ste 108 Saint Cloud MN 56303-4490 | |
| (320) 250-5540 | |
| Not Available |
| Full Name | Stone Gate Dental Associates Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1521 Northway Dr Ste 108, Saint Cloud, Minnesota |
| Authorized Official Name and Position | John Michael Collier (OWNER) |
| Authorized Official Contact | 3202505540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Gate Dental Associates Inc. 1521 Northway Dr Ste 108 Saint Cloud MN 56303-4490 Ph: (320) 250-5540 | Stone Gate Dental Associates Inc. 1521 Northway Dr Ste 108 Saint Cloud MN 56303-4490 Ph: (320) 250-5540 |
| NPI Number | 1639733389 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639733389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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