| Grove Dentist Pa | |
|
13649 Grove Dr Maple Grove MN 55311-4405 | |
| (763) 420-8038 | |
| (763) 494-4222 |
| Full Name | Grove Dentist Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13649 Grove Dr, Maple Grove, Minnesota |
| Authorized Official Name and Position | Reny Chacko (DENTIST) |
| Authorized Official Contact | 6513082804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Dentist Pa 13649 Grove Dr Maple Grove MN 55311-4405 Ph: (763) 420-8038 | Grove Dentist Pa 13649 Grove Dr Maple Grove MN 55311-4405 Ph: (763) 420-8038 |
| NPI Number | 1326481284 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 04/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326481284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11844 (Minnesota) | Primary |
Endodontic Professionals Pa Arbor Lakes Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12000 Elm Creek Blvd, Suite 240, Maple Grove, MN 55369 Phone: 763-416-3619 Fax: 763-416-3695 | |
Dentalign P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7860 Main St, Maple Grove, MN 55369 Phone: 763-420-1030 | |
Family Orthodontic Specialists, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13784 83rd Way N, Maple Grove, MN 55369 Phone: 763-494-6612 | |
Maple Grove Periodontics And Implant Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12000 Elm Creek Blvd N Ste 320, Maple Grove, MN 55369 Phone: 763-420-0200 | |
Matthew P Dale Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13998 Maple Knoll Way # Ll103, Maple Grove, MN 55369 Phone: 763-425-2072 Fax: 763-425-1487 | |
Accorde Orthodontists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6810 Hemlock Ln N, Maple Grove, MN 55369 Phone: 763-425-9888 Fax: 763-425-9835 | |
Arbor Lakes Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12000 Elm Creek Blvd N, Suite 230, Maple Grove, MN 55369 Phone: 763-494-4443 |