| Northland Dental Partners, Pllc | |
|
13340 Bass Lake Rd Maple Grove MN 55311-4540 | |
| (763) 478-9219 | |
| (763) 478-3961 |
| Full Name | Northland Dental Partners, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13340 Bass Lake Rd, Maple Grove, 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 13340 Bass Lake Rd Maple Grove MN 55311-4540 Ph: (763) 478-9219 | Northland Dental Partners, Pllc 13340 Bass Lake Rd Maple Grove MN 55311-4540 Ph: (763) 478-9219 |
| NPI Number | 1528716966 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528716966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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