Dr Michael D Smilanich, DDS | |
11231 Aquila Dr N, Champlin, MN 55316 | |
(763) 275-1318 | |
(763) 400-9184 |
Full Name | Dr Michael D Smilanich |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 11231 Aquila Dr N, Champlin, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639373285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D9510 (Minnesota) | Primary |
1223G0001X | Dentist - General Practice | 3281WI (Wisconsin) | Secondary |
Entity Name | Woodbury Dental Arts |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518231596 PECOS PAC ID: 6608264783 Enrollment ID: O20211021002111 |
Mailing Address | Practice Location Address |
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Dr Michael D Smilanich, DDS 11231 Aquila Dr N, Champlin, MN 55316 Ph: (763) 275-1318 | Dr Michael D Smilanich, DDS 11231 Aquila Dr N, Champlin, MN 55316 Ph: (763) 275-1318 |
Kenneth Donald Salo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11816 Mississippi Dr N, Champlin, MN 55316 Phone: 763-421-2732 | |
Dr. Krista S Bauer-abrahamson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12233 Champlin Dr, Champlin, MN 55316 Phone: 767-323-0678 Fax: 763-323-9102 | |
Dr. Siraj M. Bachani, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11231 Aquila Dr N, Champlin, MN 55316 Phone: 763-275-1318 | |
Dr. Docia Ann Hogan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12233 Champlin Dr, Champlin, MN 55316 Phone: 763-323-0678 Fax: 763-323-9102 | |
Owen James Thoele, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-421-5206 Fax: 763-421-8320 | |
Ashley Marie Verbick, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12180 Business Park Blvd N, Champlin, MN 55316 Phone: 763-421-5206 Fax: 763-421-8320 | |
Dr. Carol Ann Bahnemann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-421-5206 Fax: 763-421-8320 |