| Immanuel Dental | |
| 
					321 Third Street Farmington MN 55024  | |
| (651) 463-2880 | |
| (651) 463-2840 | 
| Full Name | Immanuel Dental | 
|---|---|
| Speciality | Dentist | 
| Location | 321 Third Street, Farmington, Minnesota | 
| Authorized Official Name and Position | Linden K. Dungy (C.E.O.) | 
| Authorized Official Contact | 6514632880 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Immanuel Dental 321 Third Street Farmington MN 55024 Ph: (651) 463-2880  | Immanuel Dental 321 Third Street Farmington MN 55024 Ph: (651) 463-2880  | 
| NPI Number | 1417070509 | 
|---|---|
| Provider Enumeration Date | 04/06/2007 | 
| Last Update Date | 03/25/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417070509 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | D10129 (Minnesota) | Primary | 
Dental Health Center, Dds, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 19645 Pilot Knob Rd, Farmington, MN 55024 Phone: 651-463-2300 Fax: 651-463-2118  | |
Orthodontic Care Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Division St, Farmington, MN 55024 Phone: 651-463-2800  | |
Modern Dental Professionals, Mn Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024 Phone: 651-315-8229 Fax: 651-571-0142  | |
Pdg, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Elm St, Farmington, MN 55024 Phone: 952-303-7028  | |
Harms-tri Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 1st St, Farmington, MN 55024 Phone: 651-463-7777 Fax: 651-460-6123  |