| Great Lakes Endodontics | |
|
4815 W Arrowhead Rd Hermantown MN 55811-4004 | |
| (218) 772-0772 | |
| Not Available |
| Full Name | Great Lakes Endodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4815 W Arrowhead Rd, Hermantown, Minnesota |
| Authorized Official Name and Position | Mark Terrance Phillips (DENTIST) |
| Authorized Official Contact | 6515280240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Endodontics 4815 W Arrowhead Rd Hermantown MN 55811-4004 Ph: (218) 772-0772 | Great Lakes Endodontics 4815 W Arrowhead Rd Hermantown MN 55811-4004 Ph: (218) 772-0772 |
| NPI Number | 1104255371 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104255371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12534 (Minnesota) | Primary |
Pdg, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 Phone: 218-722-7770 Fax: 218-740-3234 | |
Her And Man Town Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4135 Richard Ave Ste 103, Hermantown, MN 55811 Phone: 218-722-2428 Fax: 218-722-0142 | |
Eversmiles Pediatric Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4419 Air Base Road, Hermantown, MN 55811 Phone: 218-728-2117 Fax: 218-728-2700 | |
Miller Trunk Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5086 Miller Trunk Hwy, Hermantown, MN 55811 Phone: 218-729-9810 Fax: 218-729-9812 | |
Harrington Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4815 West Arrowhead Rd, Suite #110, Hermantown, MN 55811 Phone: 218-722-0772 |