| Blooming Prairie Dental Center, Pa | |
|
132 - 2nd Ave Ne Blooming Prairie MN 55917 | |
| (507) 583-6613 | |
| (507) 583-2873 |
| Full Name | Blooming Prairie Dental Center, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 132 - 2nd Ave Ne, Blooming Prairie, Minnesota |
| Authorized Official Name and Position | Jeffrey Allan Schwert (OWNER) |
| Authorized Official Contact | 5075836613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Prairie Dental Center, Pa 132 - 2nd Ave Ne Po Box 667 Blooming Prairie MN 55917 Ph: (507) 583-6613 | Blooming Prairie Dental Center, Pa 132 - 2nd Ave Ne Blooming Prairie MN 55917 Ph: (507) 583-6613 |
| NPI Number | 1790423168 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790423168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Main Street Dental Clinic Of Blooming Prairie, Pllp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 E Main Street, Blooming Prairie, MN 55917 Phone: 507-583-2141 Fax: 507-583-7574 | |
Main Street Dental Mc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 E Main Street, Blooming Prairie, MN 55917 Phone: 507-583-2141 Fax: 507-583-7574 |