| Forever Smiles, Pllc | |
|
2100 11th St E Glencoe MN 55336-2625 | |
| (320) 864-3129 | |
| (320) 500-6011 |
| Full Name | Forever Smiles, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2100 11th St E, Glencoe, Minnesota |
| Authorized Official Name and Position | Shawn D Knorr (OWNER-DDS) |
| Authorized Official Contact | 3208643129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Smiles, Pllc 2100 11th St E Glencoe MN 55336-2625 Ph: (320) 864-3129 | Forever Smiles, Pllc 2100 11th St E Glencoe MN 55336-2625 Ph: (320) 864-3129 |
| NPI Number | 1134357833 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134357833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12456 (Minnesota) | Primary |
Gwen Regnier Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 Ives Ave N, Glencoe, MN 55336 Phone: 320-864-3215 Fax: 320-864-2768 |