| Fairview Health Services | |
|
2450 Riverside Ave Minneapolis MN 55454-1450 | |
| (612) 672-6000 | |
| Not Available |
| Full Name | Fairview Health Services |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Melissa Ells (EXECUTIVE DIRECTOR-AMBULATORY SERV.) |
| Authorized Official Contact | 5077796063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Health Services 3200 Labore Rd Ste 104 Vadnais Heights MN 55110-5186 Ph: (651) 431-5995 | Fairview Health Services 2450 Riverside Ave Minneapolis MN 55454-1450 Ph: (612) 672-6000 |
| NPI Number | 1770479891 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770479891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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