| Lee D Jess Dds Ltd | |
|
501 S Pokegama Ave Suite 101 Grand Rapids MN 55744-3838 | |
| (218) 326-3231 | |
| (218) 326-4619 |
| Full Name | Lee D Jess Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 S Pokegama Ave, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Lee Dale Jess (OWNER, PRESIDENT) |
| Authorized Official Contact | 2183263231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee D Jess Dds Ltd 501 S Pokegama Ave Suite 101 Grand Rapids MN 55744-3838 Ph: (218) 326-3231 | Lee D Jess Dds Ltd 501 S Pokegama Ave Suite 101 Grand Rapids MN 55744-3838 Ph: (218) 326-3231 |
| NPI Number | 1740352608 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740352608 | NPI | - | NPPES |
| 038015600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7035 (Minnesota) | Primary |
Gaalaas Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Nw 6th St, Grand Rapids, MN 55744 Phone: 218-326-0377 | |
Kreklow Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Nw 2nd Ave, Grand Rapids, MN 55744 Phone: 218-326-1266 | |
James Rostvold Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1043 E Us Highway 169, Grand Rapids, MN 55744 Phone: 218-326-2560 Fax: 218-326-8256 | |
Pokegama Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Pokegama Ave Ste 101, Grand Rapids, MN 55744 Phone: 763-587-5589 | |
Schroeder Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Ne 5th Ave, Grand Rapids, MN 55744 Phone: 218-326-9051 | |
Miskovich Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Se 4th Avenue, Grand Rapids, MN 55744 Phone: 218-326-3437 Fax: 218-327-1211 | |
Rowell Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Nw 2nd Ave, Grand Rapids, MN 55744 Phone: 218-326-1266 Fax: 218-326-9502 |