Charles Joseph Tentinger, DDS | |
710 19th Ave N, Suite 300, South St Paul, MN 55075-1359 | |
(651) 451-1873 | |
(651) 451-8010 |
Full Name | Charles Joseph Tentinger |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 710 19th Ave N, South St Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528151354 | NPI | - | NPPES |
293DOTE | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11574 (Minnesota) | Primary |
Entity Name | St. Paul Oral Surgery, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548218910 PECOS PAC ID: 5597724419 Enrollment ID: O20041006001243 |
Mailing Address | Practice Location Address |
---|---|
Charles Joseph Tentinger, DDS 710 19th Ave N, Suite 300, South St Paul, MN 55075-1359 Ph: (651) 451-1873 | Charles Joseph Tentinger, DDS 710 19th Ave N, Suite 300, South St Paul, MN 55075-1359 Ph: (651) 451-1873 |
Dr. Barbara K. Junker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 Southview Blvd, South St Paul, MN 55075 Phone: 651-455-2297 Fax: 651-455-9223 | |
Dr. Warren Dale Zenk, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 Southview Blvd, South St Paul, MN 55075 Phone: 651-455-2297 Fax: 651-455-9223 | |
Dr. Thomas E Spray, DDS Dentist Medicare: Medicare Enrolled Practice Location: 112 7th Ave S, South St Paul, MN 55075 Phone: 651-451-8303 | |
Michael John Prueher, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Dental South P A, 800 Marie Avenue, South St Paul, MN 55075 Phone: 651-451-1277 Fax: 651-455-8488 | |
Dale Victor Olson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 710 19th Ave N, Suite 300, South St Paul, MN 55075 Phone: 651-451-1873 Fax: 651-451-8010 | |
Bridget Louise Fensholt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 7th Ave South, South St Paul, MN 55075 Phone: 651-451-1894 Fax: 651-451-1894 |