|
| |
|
15875 Emperor Avenue Apple Valley MN 55124 | |
| (651) 344-8817 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15875 Emperor Avenue, Apple Valley, Minnesota |
| Authorized Official Name and Position | Chad Holly Kelly (PRESIDENT/OWNER) |
| Authorized Official Contact | 7634201030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4630 Edgebrook Place Edina MN 55424 Ph: (763) 420-1030 | 15875 Emperor Avenue Apple Valley MN 55124 Ph: (651) 344-8817 |
| NPI Number | 1639687189 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 01/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639687189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11493 (Minnesota) | Primary |
Synergy Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Galaxie Ave Ste 205, Apple Valley, MN 55124 Phone: 612-601-0050 | |
Apple Valley Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7493 147th St W, Suite #100, Apple Valley, MN 55124 Phone: 952-432-7145 Fax: 952-432-6886 | |
Dakota Dental Clinic Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14682 Pennock Ave, Apple Valley, MN 55124 Phone: 952-431-5774 Fax: 952-431-0862 | |
Eagan Valley Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14050 Pilot Knob Rd, Apple Valley, MN 55124 Phone: 952-423-4414 | |