| Bloomington Family Dental, Pllc | |
|
9820 Nicollet Ave S Bloomington MN 55420 | |
| (952) 856-0089 | |
| Not Available |
| Full Name | Bloomington Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9820 Nicollet Ave S, Bloomington, Minnesota |
| Authorized Official Name and Position | Brian M Gray (OWNER/DENTIST) |
| Authorized Official Contact | 9528560089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Family Dental, Pllc 9820 Nicollet Ave S Bloomington MN 55420 Ph: (952) 856-0089 | Bloomington Family Dental, Pllc 9820 Nicollet Ave S Bloomington MN 55420 Ph: (952) 856-0089 |
| NPI Number | 1649079039 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649079039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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