| Dentistry For Children, P.a. | |
|
140 Twin Rivers Ct Sartell MN 56377-2015 | |
| (320) 257-3380 | |
| (320) 257-3382 |
| Full Name | Dentistry For Children, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 140 Twin Rivers Ct, Sartell, Minnesota |
| Authorized Official Name and Position | Dennis Carrreras (OWNER/ DENTIST) |
| Authorized Official Contact | 3202573380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children, P.a. 140 Twin Rivers Ct Sartell MN 56377-2015 Ph: (320) 257-3380 | Dentistry For Children, P.a. 140 Twin Rivers Ct Sartell MN 56377-2015 Ph: (320) 257-3380 |
| NPI Number | 1215299508 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215299508 | NPI | - | NPPES |
| 551219100 | Medicaid | MN | |
| 1225195837 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D10920 (Minnesota) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | D12166 (Minnesota) | Secondary |
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