| Summit Dental Care | |
|
15031 Crestone Ave W Rosemount MN 55068-4586 | |
| (651) 322-7373 | |
| Not Available |
| Full Name | Summit Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15031 Crestone Ave W, Rosemount, Minnesota |
| Authorized Official Name and Position | Kristin Ann Nelson (OWNER) |
| Authorized Official Contact | 6513227373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Care 15031 Crestone Ave W Rosemount MN 55068-4586 Ph: (651) 322-7373 | Summit Dental Care 15031 Crestone Ave W Rosemount MN 55068-4586 Ph: (651) 322-7373 |
| NPI Number | 1699257469 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699257469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12088 (Minnesota) | Primary |
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