| Erickson/aamodt Orthodontics, P.a. | |
|
4790 White Bear Pkwy White Bear Lake MN 55110-3336 | |
| (651) 426-3873 | |
| (651) 653-5790 |
| Full Name | Erickson/aamodt Orthodontics, P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4790 White Bear Pkwy, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Keith Robert Erickson (PRESIDENT) |
| Authorized Official Contact | 6514263873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson/aamodt Orthodontics, P.a. 4790 White Bear Pkwy White Bear Lake MN 55110-3336 Ph: (651) 426-3873 | Erickson/aamodt Orthodontics, P.a. 4790 White Bear Pkwy White Bear Lake MN 55110-3336 Ph: (651) 426-3873 |
| NPI Number | 1417115189 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417115189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D9558 (Minnesota) | Primary |
Century College Dental Hygiene Program Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Century Ave N, East Campus - Dental Clinic, White Bear Lake, MN 55110 Phone: 651-779-3983 Fax: 651-779-3401 | |
Birch Lake Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2641 White Bear Parkway, White Bear Lake, MN 55110 Phone: 651-429-0404 Fax: 651-429-0472 | |
Oakwood Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Bellaire Ave, White Bear Lake, MN 55110 Phone: 651-426-0038 Fax: 651-653-9923 | |
Roger G. Ettel D.d.s. & Associates, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Highway 61 N # Su-300, White Bear Lake, MN 55110 Phone: 651-429-2299 Fax: 651-429-6630 | |
Healthpartners White Bear Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-426-9502 Fax: 651-653-2158 | |
Signature Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2126 5th St, White Bear Lake, MN 55110 Phone: 651-426-9986 Fax: 651-653-4653 | |
White Bear Smiles, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4778 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-8998 |