| Youngren Family Dental Care Center, Inc. | |
|
504 2nd Ave S Saint James MN 56081-1737 | |
| (507) 375-4611 | |
| (507) 375-4989 |
| Full Name | Youngren Family Dental Care Center, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 504 2nd Ave S, Saint James, Minnesota |
| Authorized Official Name and Position | Dan Howard Youngren (PRESIDENT) |
| Authorized Official Contact | 5073754611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youngren Family Dental Care Center, Inc. 504 2nd Ave S Saint James MN 56081-1737 Ph: (507) 375-4611 | Youngren Family Dental Care Center, Inc. 504 2nd Ave S Saint James MN 56081-1737 Ph: (507) 375-4611 |
| NPI Number | 1609992049 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609992049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8476 (Minnesota) | Primary |
St. James Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 2nd Ave S, Saint James, MN 56081 Phone: 507-375-4611 Fax: 507-375-4989 |