Blackduck Dental Clinic | |
49 Summit Ave. Se Blackduck MN 56630 | |
(218) 835-4227 | |
(218) 835-7512 |
Full Name | Blackduck Dental Clinic |
---|---|
Speciality | Dentist - General Practice |
Location | 49 Summit Ave. Se, Blackduck, Minnesota |
Authorized Official Name and Position | Paul R Bengtson (DENTIST) |
Authorized Official Contact | 2188354227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blackduck Dental Clinic Po Box 308 Blackduck MN 56630-0308 Ph: (218) 835-4227 | Blackduck Dental Clinic 49 Summit Ave. Se Blackduck MN 56630 Ph: (218) 835-4227 |
NPI Number | 1003991944 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003991944 | NPI | - | NPPES |
81202BE | Other | MN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7789 (Minnesota) | Primary |
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› Verified 9 days ago
Blackduck Dental Clinic Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Summit Ave. E., Blackduck, MN 56630 Phone: 218-835-4227 |