Mahtomedi Dental Clinic
Mahtomedi Dental Clinic provides General Practice Dentistry in Mahtomedi, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
814 Mahtomedi Ave Mahtomedi DentalMahtomedi, MN 55115-1730 Not confirmed with CMS for 18 years — call before visiting
Phone: (651) 426-0011
Fax: (651) 426-2075
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D8217 (MN) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 11396 (MN) |
Record details
| NPI number | 1841462652 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Bray — Owner - Dentist · (651) 426-0011 |
| Other names | North St. Paul Dental |
| NPI enumerated | April 1, 2008 |
| Last updated in NPPES | July 18, 2008 |
| Mailing address | 814 Mahtomedi Ave, Mahtomedi, MN 55115-1730 |
Other providers in Mahtomedi
-
Bradley John Hagen
814 Mahtomedi Ave, Mahtomedi, MN 55115-1730 · (651) 426-0011
-
Dr. Perri Lynn Kauls, DDS
12 Long Lake Road Number 12, Mahtomedi, MN 55115 · (651) 770-2699
-
Mahtomedi Dental Clinic
814 Mahtomedi Ave, Mahtomedi, MN 55115-1730 · (651) 426-0011
-
Mahtomedi Family Dental
814 Mahtomedi Ave, Mahtomedi, MN 55115-1730 · (651) 426-0011