Woodbury Dental Arts | |
237 Radio Dr Ste 110 Woodbury MN 55125-4478 | |
(651) 436-7559 | |
(651) 436-7553 |
Full Name | Woodbury Dental Arts |
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Speciality | Clinic/Center |
Location | 237 Radio Dr Ste 110, Woodbury, Minnesota |
Authorized Official Name and Position | Marko Kamel (DDS) |
Authorized Official Contact | 6518087731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Woodbury Dental Arts 237 Radio Dr Ste 110 Woodbury MN 55125-4478 Ph: (651) 436-7559 | Woodbury Dental Arts 237 Radio Dr Ste 110 Woodbury MN 55125-4478 Ph: (651) 436-7559 |
NPI Number | 1518231596 |
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Provider Enumeration Date | 03/08/2012 |
Last Update Date | 10/18/2021 |
Medicare PECOS PAC ID | 6608264783 |
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Medicare Enrollment ID | O20211021002111 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518231596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Marko Michael Kamel |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1821160193 PECOS PAC ID: 7416345590 Enrollment ID: I20211021002180 |
Provider Name | Michael D Smilanich |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1639373285 PECOS PAC ID: 0345537312 Enrollment ID: I20211214001960 |
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