| West Central Smiles Pa | |
|
123 1/2 N. First St. Montevideo MN 56265 | |
| (320) 235-3102 | |
| Not Available |
| Full Name | West Central Smiles Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 123 1/2 N. First St., Montevideo, Minnesota |
| Authorized Official Name and Position | Jeremy Johnson (DR./CEO) |
| Authorized Official Contact | 3202353102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Smiles Pa 1100 19th Ave Sw Suite 1 Willmar MN 56201-5288 Ph: () - | West Central Smiles Pa 123 1/2 N. First St. Montevideo MN 56265 Ph: (320) 235-3102 |
| NPI Number | 1952554974 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952554974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Main Street Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 South 1st Street, Montevideo, MN 56265 Phone: 320-269-6406 Fax: 320-269-6408 | |
Montevideo Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Legion Dr Ste 2, Montevideo, MN 56265 Phone: 320-269-6416 Fax: 320-269-8136 | |
Main Street Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N 1st St, Montevideo, MN 56265 Phone: 320-269-6406 Fax: 320-269-6408 |