| Luverne Family Dental, Pllc | |
|
115 E Main St Luverne MN 56156-1830 | |
| (507) 283-9129 | |
| Not Available |
| Full Name | Luverne Family Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 115 E Main St, Luverne, Minnesota |
| Authorized Official Name and Position | Matthew P Ford (OWNER) |
| Authorized Official Contact | 3202470953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luverne Family Dental, Pllc 115 E Main St Luverne MN 56156-1830 Ph: () - | Luverne Family Dental, Pllc 115 E Main St Luverne MN 56156-1830 Ph: (507) 283-9129 |
| NPI Number | 1992399224 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 02/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992399224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
State Of Minnesota Minnesota Management And Budget Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 North Kniss Ave., Luverne, MN 56156 Phone: 507-283-6200 Fax: 612-548-5964 |