| Special Care Dentistry Fergus Falls | |
|
327 Western Ave. Suite B Fergus Falls MN 56537-3807 | |
| (218) 736-1890 | |
| (651) 431-7381 |
| Full Name | Special Care Dentistry Fergus Falls |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 327 Western Ave., Fergus Falls, Minnesota |
| Authorized Official Name and Position | Lynn Glancey (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6515397200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Care Dentistry Fergus Falls 3200 Labore Rd. Suite 104 Vadnais Heights MN 55110-5186 Ph: (651) 539-7200 | Special Care Dentistry Fergus Falls 327 Western Ave. Suite B Fergus Falls MN 56537-3807 Ph: (218) 736-1890 |
| NPI Number | 1205991866 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 01/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205991866 | NPI | - | NPPES |
| 102325000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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Great Lakes Pediatric Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 E Lincoln Ave, Fergus Falls, MN 56537 Phone: 320-766-0085 | |
Jayme Mace Dmd Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-3179 Fax: 218-737-0618 | |
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