| Smile City | |
|
1011 2nd St N Ste 201 Saint Cloud MN 56303-3237 | |
| (320) 252-0414 | |
| Not Available |
| Full Name | Smile City |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 2nd St N Ste 201, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Ashraf W Wasef (GENERAL DENTIST) |
| Authorized Official Contact | 6127356545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile City 1011 2nd St N Ste 201 Saint Cloud MN 56303-3237 Ph: (320) 252-0414 | Smile City 1011 2nd St N Ste 201 Saint Cloud MN 56303-3237 Ph: (320) 252-0414 |
| NPI Number | 1821381450 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821381450 | NPI | - | NPPES |
| 91610700 | Medicaid | MN | |
| 1992994131 | Other | MN | PERSONAL NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12300 (Minnesota) | Primary |
| 124Q00000X | Dental Hygienist | () | Secondary |
| 126800000X | Dental Assistant | (Minnesota) | Secondary |
Minnesota Head & Neck Pain Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Roosevelt Rd, Saint Cloud, MN 56301 Phone: 763-577-2484 Fax: 763-577-1375 |
Robert W. Koubsky, D.D.S. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 1st St N, Suite #102, Saint Cloud, MN 56303 Phone: 320-255-9048 Fax: 320-251-4745 |
Kahn Dental North PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2860 W Division St Ste 102, Saint Cloud, MN 56301 Phone: 218-203-9872 |
Shine Dental LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 4th St Se Ste 200, Saint Cloud, MN 56304 Phone: 320-980-6031 |
John D. Nydahl, DDS, P. A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 2nd St N Ste 101, Saint Cloud, MN 56303 Phone: 320-253-0744 Fax: 320-253-9930 |
Rupp and Grabowski Family Dentistry, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 W Saint Germain St, #114, Saint Cloud, MN 56301 Phone: 320-251-1912 Fax: 320-251-2331 |