Michael John Prueher, DDS | |
Dental South P A, 800 Marie Avenue, South St Paul, MN 55075 | |
(651) 451-1277 | |
(651) 455-8488 |
Full Name | Michael John Prueher |
---|---|
Gender | Male |
Speciality | Dentist |
Location | Dental South P A, South 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 |
---|---|---|---|
1528272887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 9619 (Minnesota) | Primary |
Entity Name | Dental South P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558431890 PECOS PAC ID: 1951633742 Enrollment ID: O20191206000896 |
Mailing Address | Practice Location Address |
---|---|
Michael John Prueher, DDS Dental South P A, 800 Marie Avenue, South St Paul, MN 55075 Ph: (651) 451-1277 | Michael John Prueher, DDS Dental South P A, 800 Marie Avenue, South St Paul, MN 55075 Ph: (651) 451-1277 |
Dr. Barbara K. Junker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 Southview Blvd, South St Paul, MN 55075 Phone: 651-455-2297 Fax: 651-455-9223 | |
Dr. Warren Dale Zenk, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 Southview Blvd, South St Paul, MN 55075 Phone: 651-455-2297 Fax: 651-455-9223 | |
Dr. Thomas E Spray, DDS Dentist Medicare: Medicare Enrolled Practice Location: 112 7th Ave S, South St Paul, MN 55075 Phone: 651-451-8303 | |
Charles Joseph Tentinger, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 710 19th Ave N, Suite 300, South St Paul, MN 55075 Phone: 651-451-1873 Fax: 651-451-8010 | |
Dale Victor Olson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 710 19th Ave N, Suite 300, South St Paul, MN 55075 Phone: 651-451-1873 Fax: 651-451-8010 | |
Bridget Louise Fensholt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 7th Ave South, South St Paul, MN 55075 Phone: 651-451-1894 Fax: 651-451-1894 |