Dr Lisa D Buckingham, DDS | |
205 Wabasha St S, St Paul, MN 55107 | |
(651) 227-3757 | |
(651) 293-8130 |
Full Name | Dr Lisa D Buckingham |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 205 Wabasha St S, 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 |
---|---|---|---|
1811008675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 11748 (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 Lisa D Buckingham, DDS Po Box 1309, Mail Code 21113a, Minneapolis, MN 55440-1309 Ph: (952) 883-5151 | Dr Lisa D Buckingham, DDS 205 Wabasha St S, St Paul, MN 55107 Ph: (651) 227-3757 |
Dr. David C Watkins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Ave, St Paul, MN 55106 Phone: 651-641-0020 Fax: 651-632-8984 | |
Dr. Robert Lloyd Juhnke, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1337 St. Clair Ave, Ste 9, St Paul, MN 55105 Phone: 651-690-2837 | |
Brian Carlos Monssen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2221 Ford Pkwy, Ste 201, St Paul, MN 55116 Phone: 651-698-1242 Fax: 651-696-1858 | |
Dr. Farhad Gounili, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Como Ave, St Paul, MN 55108 Phone: 651-641-0020 Fax: 651-632-8984 | |
Kurt M Sundeen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1132 Larpenteur Ave W, St Paul, MN 55113 Phone: 651-489-0641 | |
Dr. Mary Kay Albertson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1439 Arcade Street, St Paul, MN 55106 Phone: 651-776-4766 Fax: 651-776-6622 | |
Dr. Matthew J Roszkowski, DDS MS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Como Ave, St Paul, MN 55108 Phone: 651-999-4600 Fax: 651-632-8984 |