Northland Dental Partners, Pllc | |
4255 Pheasant Ridge Dr Ne Ste 407 Blaine MN 55449-5066 | |
(763) 225-6100 | |
Not Available |
Full Name | Northland Dental Partners, Pllc |
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Speciality | Dentist - General Practice |
Location | 4255 Pheasant Ridge Dr Ne Ste 407, Blaine, Minnesota |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northland Dental Partners, Pllc 4255 Pheasant Ridge Dr Ne Ste 407 Blaine MN 55449-5066 Ph: (763) 225-6100 | Northland Dental Partners, Pllc 4255 Pheasant Ridge Dr Ne Ste 407 Blaine MN 55449-5066 Ph: (763) 225-6100 |
NPI Number | 1144978560 |
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Provider Enumeration Date | 03/15/2022 |
Last Update Date | 03/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144978560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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