| Long Prairie Dental Clinic Llc | |
|
917 1st Ave Se Long Prairie MN 56347 | |
| (320) 732-6141 | |
| (320) 732-6543 |
| Full Name | Long Prairie Dental Clinic Llc |
|---|---|
| Speciality | Dentist |
| Location | 917 1st Ave Se, Long Prairie, Minnesota |
| Authorized Official Name and Position | Marilyn M Gustafson (OFFICE MANAGER) |
| Authorized Official Contact | 3207326141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Prairie Dental Clinic Llc 917 1st Ave Se Long Prairie MN 56347 Ph: (320) 732-6141 | Long Prairie Dental Clinic Llc 917 1st Ave Se Long Prairie MN 56347 Ph: (320) 732-6141 |
| NPI Number | 1811943061 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811943061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Lakeland Dental P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 1st Ave Se, Long Prairie, MN 56347 Phone: 320-732-6141 | |
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 |