| Metropolitan Pediatric Dental Associates, Ltd | |
|
1519 Central Pkwy Ste 250 Eagan MN 55121-2488 | |
| (651) 454-0334 | |
| (651) 454-0483 |
| Full Name | Metropolitan Pediatric Dental Associates, Ltd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1519 Central Pkwy Ste 250, Eagan, Minnesota |
| Authorized Official Name and Position | James D Nickman (PRESIDENT) |
| Authorized Official Contact | 6512244969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Pediatric Dental Associates, Ltd 1519 Central Pkwy Ste 250 Eagan MN 55121-2488 Ph: (651) 454-0334 | Metropolitan Pediatric Dental Associates, Ltd 1519 Central Pkwy Ste 250 Eagan MN 55121-2488 Ph: (651) 454-0334 |
| NPI Number | 1912056961 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912056961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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