| Eagan Family Dentistry | |
|
4178 Knob Dr Ste C Eagan MN 55122-1875 | |
| (651) 452-4317 | |
| (651) 452-2208 |
| Full Name | Eagan Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4178 Knob Dr Ste C, Eagan, Minnesota |
| Authorized Official Name and Position | Jeffrey A. Rud (PRESIDENT) |
| Authorized Official Contact | 6514524317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagan Family Dentistry 4178 Knob Dr Ste C Eagan MN 55122-1875 Ph: (651) 452-4317 | Eagan Family Dentistry 4178 Knob Dr Ste C Eagan MN 55122-1875 Ph: (651) 452-4317 |
| NPI Number | 1144353780 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144353780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9966 (Minnesota) | Primary |
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