Taxpayer Name: Morgandia D.c./doing Business As City If Lakes Dental | |
5524 Nicollet Ave. Minneapolis MN 55419 | |
(612) 823-1816 | |
Not Available |
Full Name | Taxpayer Name: Morgandia D.c./doing Business As City If Lakes Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 5524 Nicollet Ave., Minneapolis, Minnesota |
Authorized Official Name and Position | Jaimie Hoiland (DENTIST, OWNER) |
Authorized Official Contact | 6128231816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Taxpayer Name: Morgandia D.c./doing Business As City If Lakes Dental 5524 Nicollet Ave. Minneapolis MN 55419 Ph: (612) 823-1816 | Taxpayer Name: Morgandia D.c./doing Business As City If Lakes Dental 5524 Nicollet Ave. Minneapolis MN 55419 Ph: (612) 823-1816 |
NPI Number | 1720772791 |
---|---|
Provider Enumeration Date | 06/05/2023 |
Last Update Date | 06/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720772791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Nicollet Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6101 Nicollet Ave. So., Minneapolis, MN 55419 Phone: 612-866-8550 Fax: 612-866-9453 | |
Proactive Dental Clinic Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 E Lake St Ste 105, Minneapolis, MN 55408 Phone: 310-883-8932 | |
Craig J Brandenburg Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Bloomington Ave, Minneapolis, MN 55417 Phone: 612-721-6233 Fax: 612-721-5723 | |
Walker Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Bryant Ave S, Minneapolis, MN 55409 Phone: 612-827-5931 Fax: 612-827-8458 | |
Park Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 39th Ave Ne, 225, Minneapolis, MN 55421 Phone: 763-781-7475 Fax: 763-781-0828 | |
West River Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4103 E Lake St, Minneapolis, MN 55406 Phone: 612-721-2424 Fax: 612-721-3054 | |
Minneapolis Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S 5th St Ste 1475, Minneapolis, MN 55402 Phone: 612-332-1255 Fax: 612-388-3721 |