| The Dental Specialists Of Minnesota, Pllc | |
|
675 E Nicollet Blvd Ste 120 Burnsville MN 55337-6748 | |
| (952) 241-5890 | |
| Not Available |
| Full Name | The Dental Specialists Of Minnesota, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 675 E Nicollet Blvd Ste 120, Burnsville, Minnesota |
| Authorized Official Name and Position | Shannon Hesse (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 6517462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Specialists Of Minnesota, Pllc 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 746-2815 | The Dental Specialists Of Minnesota, Pllc 675 E Nicollet Blvd Ste 120 Burnsville MN 55337-6748 Ph: (952) 241-5890 |
| NPI Number | 1831747872 |
|---|---|
| Provider Enumeration Date | 09/03/2019 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831747872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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