| Dental Health Center, Dds, Pa | |
|
19645 Pilot Knob Rd Farmington MN 55024-7239 | |
| (651) 463-2300 | |
| (651) 463-2118 |
| Full Name | Dental Health Center, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 19645 Pilot Knob Rd, Farmington, Minnesota |
| Authorized Official Name and Position | Jon S Falkowski (DENTIST OWNER) |
| Authorized Official Contact | 6514632300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Center, Dds, Pa 19645 Pilot Knob Rd Farmington MN 55024-7239 Ph: (651) 463-2300 | Dental Health Center, Dds, Pa 19645 Pilot Knob Rd Farmington MN 55024-7239 Ph: (651) 463-2300 |
| NPI Number | 1467405456 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 01/22/2013 |
| Medicare PECOS PAC ID | 7315191558 |
|---|---|
| Medicare Enrollment ID | O20130216000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467405456 | NPI | - | NPPES |
| 691375000 | Other | MN | MEDICAL ASSIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8018 (Minnesota) | Secondary |
| 122300000X | Dentist | 10522 (Minnesota) | Secondary |
| 122300000X | Dentist | 10404 (Minnesota) | Primary |
| Provider Name | Jon S Falkowsi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841351533 PECOS PAC ID: 8224282462 Enrollment ID: I20130216000037 |
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