4th Avenue Dental, PA, Dba Oak Park Dental
4th Avenue Dental, PA, Dba Oak Park Dental provides General Practice Dentistry in Pine City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.
- Licensed in
- MN
- In the registry since
- 2014
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
505 Johnson Ave SEPine City, MN 55063-2108 Not confirmed with CMS for 12 years — call before visiting
Phone: (320) 629-2282
Fax: (320) 629-3357
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D11935 (MN) |
|---|
Record details
| NPI number | 1609298355 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alicia Ascheman — Supervisor/Owner · (320) 629-2282 |
| NPI enumerated | January 15, 2014 |
| Last updated in NPPES | January 15, 2014 |
| Mailing address | 505 Johnson Ave Se, Pine City, MN 55063-2108 |
Other providers in Pine City
-
Dr. Dylan J Ascheman, DDS
705 4th Ave SW, Pine City, MN 55063-1604 · (320) 629-6703
-
Carrie Carlson, DDS
505 Johnson Ave SE, Pine City, MN 55063-2108 · (320) 629-2282
-
Jon E Cruz, DDS
505 Johnson Ave SE, Pine City, MN 55063-2108 · (320) 629-2282
-
Dr. Elizabeth Ann Foss, DMD
1105 Hillside Ave SW, Pine City, MN 55063-2153 · (320) 336-8927