| Dental Health Service Of Northern Minnesota Pa | |
|
802 W 42nd St Hibbing MN 55746 | |
| (218) 263-8381 | |
| (218) 263-8383 |
| Full Name | Dental Health Service Of Northern Minnesota Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 802 W 42nd St, Hibbing, Minnesota |
| Authorized Official Name and Position | Nathan Pedersen (CEO) |
| Authorized Official Contact | 2182638381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Service Of Northern Minnesota Pa 802 W 42nd St Hibbing MN 55746 Ph: (218) 263-8381 | Dental Health Service Of Northern Minnesota Pa 802 W 42nd St Hibbing MN 55746 Ph: (218) 263-8381 |
| NPI Number | 1518086750 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518086750 | NPI | - | NPPES |
| 69151DE | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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