| Elgin Family Dentistry | |
|
124 2nd Ave Se Elgin MN 55932-9732 | |
| (507) 876-0127 | |
| Not Available |
| Full Name | Elgin Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 2nd Ave Se, Elgin, Minnesota |
| Authorized Official Name and Position | Julee Ann Kingsley (PRESIDENT) |
| Authorized Official Contact | 5078760127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elgin Family Dentistry 124 2nd Ave Se P.o. Box #10 Elgin MN 55932-9732 Ph: (507) 876-0127 | Elgin Family Dentistry 124 2nd Ave Se Elgin MN 55932-9732 Ph: (507) 876-0127 |
| NPI Number | 1659650893 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 08/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659650893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12570 (Minnesota) | Primary |