Greenhaven Family Dental | |
13495 Elder Dr Suite 100 Baxter MN 56425-8763 | |
(218) 454-0523 | |
(218) 454-0524 |
Full Name | Greenhaven Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 13495 Elder Dr, Baxter, Minnesota |
Authorized Official Name and Position | Carol Osborn (INSURANCE COORDINATOR) |
Authorized Official Contact | 2184540523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greenhaven Family Dental 13495 Elder Dr Suite 100 Baxter MN 56425-8763 Ph: (218) 454-0523 | Greenhaven Family Dental 13495 Elder Dr Suite 100 Baxter MN 56425-8763 Ph: (218) 454-0523 |
NPI Number | 1922254168 |
---|---|
Provider Enumeration Date | 08/07/2008 |
Last Update Date | 08/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922254168 | NPI | - | NPPES |
674722100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D10518 (Minnesota) | Primary |
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