| Loop Dental Pllc | |
|
207 5th Ave N Minneapolis MN 55401-1215 | |
| (612) 470-4047 | |
| Not Available |
| Full Name | Loop Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 207 5th Ave N, Minneapolis, Minnesota |
| Authorized Official Name and Position | David Andrew Bates (PRESIDENT) |
| Authorized Official Contact | 6513386102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loop Dental Pllc 2575 Hamline Ave N Ste F Roseville MN 55113-3175 Ph: (651) 636-2373 | Loop Dental Pllc 207 5th Ave N Minneapolis MN 55401-1215 Ph: (612) 470-4047 |
| NPI Number | 1427572932 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 07/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427572932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12749 (Minnesota) | Primary |
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