| Lakeland Smiles, Pllc | |
|
22 5th Ave Ne Pelican Rapids MN 56572-4126 | |
| (218) 863-7511 | |
| Not Available |
| Full Name | Lakeland Smiles, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 22 5th Ave Ne, Pelican Rapids, Minnesota |
| Authorized Official Name and Position | Bethany Baillargeon (DENTIST) |
| Authorized Official Contact | 2188637511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Smiles, Pllc Po Box 302 Pelican Rapids MN 56572-0302 Ph: (218) 863-7511 | Lakeland Smiles, Pllc 22 5th Ave Ne Pelican Rapids MN 56572-4126 Ph: (218) 863-7511 |
| NPI Number | 1467807412 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467807412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12224 (Minnesota) | Primary |
Pelican Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 E Mill Ave Ste 1, Pelican Rapids, MN 56572 Phone: 218-863-5858 Fax: 218-863-1143 |