Dr Karen J Portis, DDS | |
1395 Curve Crest Blvd W, Stillwater, MN 55082 | |
(651) 430-0036 | |
(651) 430-0191 |
Full Name | Dr Karen J Portis |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 1395 Curve Crest Blvd W, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639231681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D11408 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Dr Karen J Portis, DDS 1395 Curve Crest Blvd W, Stillwater, MN 55082 Ph: (651) 430-0036 | Dr Karen J Portis, DDS 1395 Curve Crest Blvd W, Stillwater, MN 55082 Ph: (651) 430-0036 |
Dr. Sarah Louise Bogel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1395 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-430-0036 | |
Timothy Huska, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13961 60th St N, Stillwater, MN 55082 Phone: 651-439-2600 | |
Richard L Schneider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 126 Main St N, Stillwater, MN 55082 Phone: 651-439-3637 Fax: 651-439-4655 | |
Steven D Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082 Phone: 651-439-8030 Fax: 651-351-0821 | |
Dr. Polly Jo Courtney Logan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13961 60th St, St Croix Valley Dental, Stillwater, MN 55082 Phone: 651-439-2600 Fax: 651-439-2211 | |
Martin A Tahara, DMD, MD Dentist Medicare: Medicare Enrolled Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082 Phone: 651-439-8030 Fax: 651-351-0821 | |
Carson Cannon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2850 Curve Crest Blvd W Ste 200, Stillwater, MN 55082 Phone: 651-439-9400 |