| Birch Lake Dental | |
|
4641 White Bear Pkwy White Bear Lake MN 55110-3300 | |
| (651) 429-0404 | |
| Not Available |
| Full Name | Birch Lake Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4641 White Bear Pkwy, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Geetha J Damodaran (OWNER) |
| Authorized Official Contact | 6514290404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Lake Dental 4641 White Bear Pkwy White Bear Lake MN 55110-3300 Ph: (651) 429-0404 | Birch Lake Dental 4641 White Bear Pkwy White Bear Lake MN 55110-3300 Ph: (651) 429-0404 |
| NPI Number | 1922619162 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922619162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Century College Dental Hygiene Program Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Century Ave N, East Campus - Dental Clinic, White Bear Lake, MN 55110 Phone: 651-779-3983 Fax: 651-779-3401 | |
Birch Lake Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2641 White Bear Parkway, White Bear Lake, MN 55110 Phone: 651-429-0404 Fax: 651-429-0472 | |
Oakwood Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Bellaire Ave, White Bear Lake, MN 55110 Phone: 651-426-0038 Fax: 651-653-9923 | |
Roger G. Ettel D.d.s. & Associates, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Highway 61 N # Su-300, White Bear Lake, MN 55110 Phone: 651-429-2299 Fax: 651-429-6630 | |
Lake Area Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Highway 61 N Ste 301, White Bear Lake, MN 55110 Phone: 651-762-8474 | |
Group Health Plan Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-426-9502 Fax: 651-653-2158 | |
Sydlewski Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2126 5th St, White Bear Lake, MN 55110 Phone: 651-426-9986 Fax: 651-653-4653 |