| Byron Dental Group Pa | |
|
21 Ne Frontage Rd. Byron MN 55920 | |
| (507) 775-6445 | |
| (507) 775-6446 |
| Full Name | Byron Dental Group Pa |
|---|---|
| Speciality | Dentist |
| Location | 21 Ne Frontage Rd., Byron, Minnesota |
| Authorized Official Name and Position | Lori Lee Stackhouse (OFFICE MANAGER) |
| Authorized Official Contact | 5077756445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Dental Group Pa P.o. Box 37 21 Ne Frontage Rd., Byron MN 55920 Ph: (507) 775-6445 | Byron Dental Group Pa 21 Ne Frontage Rd. Byron MN 55920 Ph: (507) 775-6445 |
| NPI Number | 1477888949 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 12/11/2019 |
| Medicare PECOS PAC ID | 7719311026 |
|---|---|
| Medicare Enrollment ID | O20191219001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477888949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Heidi K Torgerson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700050549 PECOS PAC ID: 0648586883 Enrollment ID: I20191219001629 |
| Provider Name | Douglas M Trebtoske |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881772754 PECOS PAC ID: 4981923828 Enrollment ID: I20201216001275 |
Northwest Dental Group Of Rochester Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Frontage Rd Ne, Byron, MN 55920 Phone: 507-289-3921 |