| Heritage Dental Care Ltd | |
| 
					2011 Jefferson Road Northfield MN 55057-3159  | |
| (507) 645-9543 | |
| (507) 645-5612 | 
| Full Name | Heritage Dental Care Ltd | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 2011 Jefferson Road, Northfield, Minnesota | 
| Authorized Official Name and Position | John H Ehresmann (OWNER) | 
| Authorized Official Contact | 5076459543 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heritage Dental Care Ltd 2011 Jefferson Road Northfield MN 55057-3159 Ph: (507) 645-9543  | Heritage Dental Care Ltd 2011 Jefferson Road Northfield MN 55057-3159 Ph: (507) 645-9543  | 
| NPI Number | 1932329638 | 
|---|---|
| Provider Enumeration Date | 04/26/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932329638 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8879 (Minnesota) | Primary | 
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