Custom Smiles Dentistry, Pllc - Dental Clinic in Andover, MN

Custom Smiles Dentistry, Pllc is a dental clinic (Clinic/center - Dental) in Andover, Minnesota. The current practice location for Custom Smiles Dentistry, Pllc is 2258 Bunker Lake Blvd Nw, Andover, Minnesota. For appointments, you can reach them via phone at (763) 390-8995. The mailing address for Custom Smiles Dentistry, Pllc is 2258 Bunker Lake Blvd Nw, Andover, Minnesota and phone number is (763) 390-8995.

Custom Smiles Dentistry, Pllc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1528678497. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (763) 390-8995.

Contact Information

Custom Smiles Dentistry, Pllc
2258 Bunker Lake Blvd Nw
Andover
MN 55304-3900
(763) 390-8995
(763) 390-8999

Dental Care Clinic Profile

Full NameCustom Smiles Dentistry, Pllc
SpecialityClinic/center - Dental
Location2258 Bunker Lake Blvd Nw, Andover, Minnesota
Authorized Official Name and PositionPao Chua Vang (DENTIST)
Authorized Official Contact7633908995
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Custom Smiles Dentistry, Pllc
2258 Bunker Lake Blvd Nw
Andover
MN 55304-3900

Ph: (763) 390-8995
Custom Smiles Dentistry, Pllc
2258 Bunker Lake Blvd Nw
Andover
MN 55304-3900

Ph: (763) 390-8995

NPI Details:

NPI Number1528678497
Provider Enumeration Date08/05/2020
Last Update Date08/05/2020

Medical Identifiers

Medical identifiers for Custom Smiles Dentistry, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528678497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Primary

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