| Greenhaven Family Dental | |
| 
					13495 Elder Dr Suite 100 Baxter MN 56425-8763  | |
| (218) 454-0523 | |
| (218) 454-0524 | 
| Full Name | Greenhaven Family Dental | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 13495 Elder Dr, Baxter, Minnesota | 
| Authorized Official Name and Position | Clinton L Roberts (OWNER) | 
| Authorized Official Contact | 2184540523 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Greenhaven Family Dental 13495 Elder Dr Suite 100 Baxter MN 56425-8763 Ph: (218) 454-0523  | Greenhaven Family Dental 13495 Elder Dr Suite 100 Baxter MN 56425-8763 Ph: (218) 454-0523  | 
| NPI Number | 1508125584 | 
|---|---|
| Provider Enumeration Date | 05/10/2012 | 
| Last Update Date | 05/10/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508125584 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10518 (Minnesota) | Primary | 
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Design Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7674 Design Rd, Baxter, MN 56425 Phone: 218-828-4816  |