| Dental Depot, Llc | |
| 
					2 E 5th St Morris MN 56267-1344  | |
| (320) 589-4481 | |
| Not Available | 
| Full Name | Dental Depot, Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 2 E 5th St, Morris, Minnesota | 
| Authorized Official Name and Position | Kevin P Williamson (DENTIST) | 
| Authorized Official Contact | 3205894481 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dental Depot, Llc 2 E 5th St Morris MN 56267-1344 Ph: (320) 589-4481  | Dental Depot, Llc 2 E 5th St Morris MN 56267-1344 Ph: (320) 589-4481  | 
| NPI Number | 1285022145 | 
|---|---|
| Provider Enumeration Date | 12/30/2014 | 
| Last Update Date | 12/30/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285022145 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | D13075 (Minnesota) | Primary | 
Morris Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 6th St, Morris, MN 56267 Phone: 320-589-2161 Fax: 320-589-3149  | |
West Central Smiles Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Atlantic Ave, Morris, MN 56267 Phone: 320-235-3102  | |
Dental Depot Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E 5th St, Morris, MN 56267 Phone: 320-589-4481 Fax: 320-589-2750  |