| Lake County Dental Ltd | |
|
402 James St Brainerd MN 56401-2965 | |
| (218) 829-4243 | |
| (218) 825-8102 |
| Full Name | Lake County Dental Ltd |
|---|---|
| Speciality | Dentist |
| Location | 402 James St, Brainerd, Minnesota |
| Authorized Official Name and Position | Jeffrey John Mattson (OWNER) |
| Authorized Official Contact | 2188294243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Dental Ltd 402 James St Brainerd MN 56401-2965 Ph: (218) 829-4243 | Lake County Dental Ltd 402 James St Brainerd MN 56401-2965 Ph: (218) 829-4243 |
| NPI Number | 1558361667 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558361667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MOEN 9531 (Minnesota) | Primary |
| 122300000X | Dentist | MATTSON 10813 (Minnesota) | Secondary |
Central Mn Pediatric Dentists, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 S 6th St, Brainerd, MN 56401 Phone: 320-253-0272 Fax: 320-251-2661 | |
Bender Winegar Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 S 6th St, Suite 2, Brainerd, MN 56401 Phone: 218-829-0795 Fax: 218-829-6871 | |
Paul J Henningson Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Maple Street, Brainerd, MN 56401 Phone: 218-829-9403 | |
Brainerd Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11800 State Ave, Brainerd, MN 56401 Phone: 218-828-2201 | |
Central Lakes College Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 W College Dr, Brainerd, MN 56401 Phone: 218-855-8000 | |
Oral And Maxillofacial Surgery Associates, Ltd Dental Clinic Medicare: Medicare Enrolled Practice Location: 1903 S 6th St Ste 4, Brainerd, MN 56401 Phone: 218-829-1728 Fax: 218-829-1729 |