| Isles Dental Associates P.a | |
|
2534 Hennepin Ave Minneapolis MN 55405-3548 | |
| (612) 374-4321 | |
| (612) 381-8518 |
| Full Name | Isles Dental Associates P.a |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2534 Hennepin Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Dawn Marie Miller (ADMINISTRATOR) |
| Authorized Official Contact | 6123744321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isles Dental Associates P.a 2534 Hennepin Ave Minneapolis MN 55405-3548 Ph: (612) 374-4321 | Isles Dental Associates P.a 2534 Hennepin Ave Minneapolis MN 55405-3548 Ph: (612) 374-4321 |
| NPI Number | 1447416607 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447416607 | NPI | - | NPPES |
| 1780655753 | Other | MN | NPI NUMBER |
| 1669547477 | Other | MN | NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10995 (Michigan) | Primary |
| 1223G0001X | Dentist - General Practice | M11654 (Minnesota) | Secondary |
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