Dr Jody J O'brien, DDS | |
250 Fuller St S, Suite 250, Shakopee, MN 55379-1681 | |
(952) 445-6657 | |
(952) 445-0674 |
Full Name | Dr Jody J O'brien |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 250 Fuller St S, Shakopee, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538151725 | NPI | - | NPPES |
3945243-00 | Other | MN | MN HEALTH CARE PROGRAM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 11027 (Minnesota) | Primary |
Entity Name | O'brien Dental Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710086459 PECOS PAC ID: 1850651753 Enrollment ID: O20180215000287 |
Mailing Address | Practice Location Address |
---|---|
Dr Jody J O'brien, DDS 250 Fuller St S, Suite 250, Shakopee, MN 55379-1681 Ph: (952) 445-6657 | Dr Jody J O'brien, DDS 250 Fuller St S, Suite 250, Shakopee, MN 55379-1681 Ph: (952) 445-6657 |
Dr. Miranda Joy Mulligan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 250 Fuller St. S., Suite 250, Shakopee, MN 55379 Phone: 952-445-6657 Fax: 952-445-0674 | |
Dr. James Wallace Arhart, DDS Dentist Medicare: Medicare Enrolled Practice Location: 205 Lewis St S, Shakopee, MN 55379 Phone: 952-445-3349 Fax: 952-445-1802 | |
Kyle Ann Lohman, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4155 Dean Lakes Blvd, Shakopee, MN 55379 Phone: 952-303-8320 | |
Dr. James Scott Perry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 403 1st Ave E, Shakopee, MN 55379 Phone: 952-445-5556 Fax: 952-445-3017 | |
Abraham Freybler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 Saint Francis Ave Ste 145, Shakopee, MN 55379 Phone: 952-496-1538 | |
Holly Marie Mcmahon, DDS Dentist Medicare: Medicare Enrolled Practice Location: 250 Fuller St. S., Suite 250, Shakopee, MN 55379 Phone: 952-445-6657 Fax: 952-445-0674 | |
Dr. Mark Joseph Elvecrog, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 8074 Old Carriage Ct, Shakopee, MN 55379 Phone: 952-746-0808 |