| Fifth Avenue Dental, P.a. | |
| 
					1829 5th Ave Anoka MN 55303-2566  | |
| (763) 421-5320 | |
| (763) 421-2677 | 
| Full Name | Fifth Avenue Dental, P.a. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1829 5th Ave, Anoka, Minnesota | 
| Authorized Official Name and Position | Robert R. Donlin (PRESIDENT) | 
| Authorized Official Contact | 7634215320 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fifth Avenue Dental, P.a. 1829 5th Ave Anoka MN 55303-2566 Ph: (763) 421-5320  | Fifth Avenue Dental, P.a. 1829 5th Ave Anoka MN 55303-2566 Ph: (763) 421-5320  | 
| NPI Number | 1841229598 | 
|---|---|
| Provider Enumeration Date | 07/02/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841229598 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4910 (Minnesota) | Primary | 
John J Keller Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 E Main St, Anoka, MN 55303 Phone: 763-421-4550 Fax: 763-421-5428  | |
Drs. Johnson And Yseth, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Jackson St, Suite 117, Anoka, MN 55303 Phone: 763-421-3330 Fax: 763-421-3331  | |
Bruce K.a. Dormanen, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 3rd Ave Ste 200, Anoka, MN 55303 Phone: 763-421-9292 Fax: 763-421-7559  | |
Group Health Plan, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Third Avenue, Suite 200, Anoka, MN 55303 Phone: 763-421-9292 Fax: 763-421-7559  | |
Jones Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 E River Rd, Anoka, MN 55303 Phone: 763-421-4140 Fax: 763-421-5737  | |
Smile Orthodontics Stillwater, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 3rd Ave Ste 110, Anoka, MN 55303 Phone: 651-351-7777  | |
Group Health Plan, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 3rd Ave, Suite 200, Anoka, MN 55303 Phone: 763-585-7610  |