Northwoods Dental | |
15600 36th Ave N Suite 270 Plymouth MN 55446-3369 | |
(763) 557-0911 | |
(763) 557-5157 |
Full Name | Northwoods Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 15600 36th Ave N, Plymouth, Minnesota |
Authorized Official Name and Position | Pamela J Kent (OFFICE MANAGER) |
Authorized Official Contact | 7635570911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwoods Dental 15600 36th Ave N Suite 270 Plymouth MN 55446-3369 Ph: (763) 557-0911 | Northwoods Dental 15600 36th Ave N Suite 270 Plymouth MN 55446-3369 Ph: (763) 557-0911 |
NPI Number | 1215083183 |
---|---|
Provider Enumeration Date | 01/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215083183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 10011 (Minnesota) | Primary |
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