Lance Svoboda, DDS, MS | |
701 Park Ave, P7, Minneapolis, MN 55415-1623 | |
(612) 873-2370 | |
Not Available |
Full Name | Lance Svoboda |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 24 Years |
Location | 701 Park Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639118771 | NPI | - | NPPES |
093455100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D11474 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hennepin County Medical Center 1 | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hennepin Healthcare System Inc | 4789684861 | 804 |
Entity Name | Hennepin Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
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Lance Svoboda, DDS, MS 701 Park Ave, Minneapolis, MN 55415-1623 Ph: () - | Lance Svoboda, DDS, MS 701 Park Ave, P7, Minneapolis, MN 55415-1623 Ph: (612) 873-2370 |
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