Nicolette Therese Porttiin, DDS in Avon, MN - Dentist

Nicolette Therese Porttiin, DDS is a Dentist based in Avon, Minnesota. Nicolette Therese Porttiin is licensed to practice in Minnesota (license number D14514) and her current practice location is 308 Blattner Dr # A, Avon, Minnesota. She can be reached at her office (for appointments etc.) via phone at (320) 356-7374.

NPI number for Nicolette Therese Porttiin is 1457972770 and her current mailing address is 308 Blattner Dr # A, Avon, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457972770.

Contact Information

	Nicolette Therese Porttiin, DDS
	308 Blattner Dr # A, Avon, MN 56310-4531
	(320) 356-7374
	Not Available

Healthcare Provider's Profile

Full Name	Nicolette Therese Porttiin
Gender	Female
Speciality	Dentist
Location	308 Blattner Dr # A, Avon, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1457972770
Provider Enumeration Date: 04/27/2020
Last Update Date: 12/13/2021

Medical Identifiers

Medical identifiers for Nicolette Therese Porttiin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457972770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D14514 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolette Therese Porttiin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicolette Therese Porttiin, DDS 308 Blattner Dr # A, Avon, MN 56310-4531 Ph: () -	Nicolette Therese Porttiin, DDS 308 Blattner Dr # A, Avon, MN 56310-4531 Ph: (320) 356-7374

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Dentist in Avon, MN

Dr. Alyssa Lynn Gullickson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 308 Blattner Dr, Suite A, Avon, MN 56310 Phone: 320-356-7374 Fax: 320-356-9427
Kathleen M Moen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 300 Avon Ave S, Suite F, Avon, MN 56310 Phone: 320-356-7374 Fax: 320-356-9427

Nicolette Therese Porttiin, DDS - Dentist in Avon, MN