| Forever Smiles, Pllc | |
|
503 W Main St Arlington MN 55307-2133 | |
| (507) 964-2748 | |
| (507) 964-2707 |
| Full Name | Forever Smiles, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 503 W Main St, Arlington, Minnesota |
| Authorized Official Name and Position | Jessica Bauer (OFFICE MANAGER) |
| Authorized Official Contact | 3208643129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Smiles, Pllc 1015 Greeley Ave N Glencoe MN 55336-2129 Ph: (320) 864-3129 | Forever Smiles, Pllc 503 W Main St Arlington MN 55307-2133 Ph: (507) 964-2748 |
| NPI Number | 1952898660 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952898660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12456 (Minnesota) | Primary |
Dr. John D. Gustafson, D.d.s., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Third Avenue Nw, Arlington, MN 55307 Phone: 507-964-2705 Fax: 507-964-5848 |