| Bates Orthodontics, PLC | |
|
14755 Victor Hugo Blvd N Ste 103 Hugo MN 55038 | |
| (651) 429-0094 | |
| Not Available |
| Full Name | Bates Orthodontics, PLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14755 Victor Hugo Blvd N, Hugo, Minnesota |
| Authorized Official Name and Position | Sean Patrick Bates (OWNER) |
| Authorized Official Contact | 6513439182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bates Orthodontics, PLC 14755 Victor Hugo Blvd N Ste 103 Hugo MN 55038 Ph: (651) 429-0094 | Bates Orthodontics, PLC 14755 Victor Hugo Blvd N Ste 103 Hugo MN 55038 Ph: (651) 429-0094 |
| NPI Number | 1104430289 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 09/04/2020 |
| Certification Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104430289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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