| West Range Dental Care | |
|
1043 E Us Highway 169 Grand Rapids MN 55744-3165 | |
| (218) 326-2560 | |
| (218) 326-8256 |
| Full Name | West Range Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1043 E Us Highway 169, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Jenny Morris (FRONT DESK) |
| Authorized Official Contact | 2183262560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Range Dental Care Po Box 339 Grand Rapids MN 55744-0339 Ph: (218) 326-2560 | West Range Dental Care 1043 E Us Highway 169 Grand Rapids MN 55744-3165 Ph: (218) 326-2560 |
| NPI Number | 1205584307 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205584307 | NPI | - | NPPES |
| 872720100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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