Dr Matthew R Nelson, DDS | |
10961 Club Parkway Ne, Suite 240, Blaine, MN 55449 | |
(763) 780-1292 | |
(952) 967-5311 |
Full Name | Dr Matthew R Nelson |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 10961 Club Parkway Ne, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124125372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 11454 (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 Matthew R Nelson, DDS Po Box 1309, Mail Code 21113a, Minneapolis, MN 55440-1309 Ph: (952) 883-5151 | Dr Matthew R Nelson, DDS 10961 Club Parkway Ne, Suite 240, Blaine, MN 55449 Ph: (763) 780-1292 |
Dr. Jeffrey Mark Ruhlmann, Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 | |
Dr. Landon Thomas Case, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 Phone: 763-225-1865 | |
Dr. Stephen Michael Sawyer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305 | |
Dr. Anissa Jane Kozlowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 763-755-1330 Fax: 763-755-4305 | |
Dr. Karen Dizon Competente, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4255 Pheasant Ridge Dr Ne, Suite 407, Blaine, MN 55449 Phone: 763-225-6100 Fax: 763-225-6101 | |
Dr. Thien Quang Pham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12904 Central Ave Ne, Blaine, MN 55434 Phone: 651-621-4515 | |
Dr. Shalini Mittal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1384 109th Ave Ne Ste 200, Blaine, MN 55434 Phone: 763-757-6000 |