| Annandale Dental Clinic Pc | |
|
93 Oak Ave S Unit #3 Annandale MN 55302-1205 | |
| (320) 274-2475 | |
| (320) 274-3152 |
| Full Name | Annandale Dental Clinic Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 93 Oak Ave S, Annandale, Minnesota |
| Authorized Official Name and Position | Anthony David Hegge (OWNER/PRESIDENT) |
| Authorized Official Contact | 3202742475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annandale Dental Clinic Pc Po Box 539 Annandale MN 55302-0539 Ph: (320) 274-2475 | Annandale Dental Clinic Pc 93 Oak Ave S Unit #3 Annandale MN 55302-1205 Ph: (320) 274-2475 |
| NPI Number | 1083917363 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083917363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D11795 (Minnesota) | Primary |
Morris Dental Clinic, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Park Street East, Annandale, MN 55302 Phone: 320-274-8555 |