| Advanced Dental Solutions | |
|
608 E Madison Ave Mankato MN 56001-6112 | |
| (507) 345-1284 | |
| (507) 345-5723 |
| Full Name | Advanced Dental Solutions |
|---|---|
| Speciality | Dentist |
| Location | 608 E Madison Ave, Mankato, Minnesota |
| Authorized Official Name and Position | Kevin J. Torbenson (CO-OWNER) |
| Authorized Official Contact | 5073451284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Solutions 608 E Madison Ave Mankato MN 56001-6112 Ph: (507) 345-1284 | Advanced Dental Solutions 608 E Madison Ave Mankato MN 56001-6112 Ph: (507) 345-1284 |
| NPI Number | 1912920059 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912920059 | NPI | - | NPPES |
| D11277 | Other | MN | NEUMANN, LICENSE # |
| 3273752000 | Other | MN | UNEMPLOYMENT TAX ID |
| 5723159 | Other | MN | MN TAX ID |
| 8804 | Other | MN | KEVIN TORBENSON, LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D11277 (Minnesota) | Secondary |
| 122300000X | Dentist | 8804 (Minnesota) | Primary |
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