| Lakeland Dental P.l.l.c. | |
|
917 1st Ave Se Long Prairie MN 56347 | |
| (320) 732-6141 | |
| Not Available |
| Full Name | Lakeland Dental P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 917 1st Ave Se, Long Prairie, Minnesota |
| Authorized Official Name and Position | Dominic Gagnon (PRESIDENT) |
| Authorized Official Contact | 3202800466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Dental P.l.l.c. 917 1st Ave Se Long Prairie MN 56347-1448 Ph: (320) 732-6141 | Lakeland Dental P.l.l.c. 917 1st Ave Se Long Prairie MN 56347 Ph: (320) 732-6141 |
| NPI Number | 1598243438 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598243438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Prairie Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Lake St S Ste 103, Long Prairie, MN 56347 Phone: 320-533-0240 | |
Long Prairie Dental Clinic Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 1st Ave Se, Long Prairie, MN 56347 Phone: 320-732-6141 Fax: 320-732-6543 |