| Minnesota State Community And Technical College - Dental | |
|
1900 28th Ave S Moorhead MN 56560-4830 | |
| (218) 299-6560 | |
| (218) 299-6532 |
| Full Name | Minnesota State Community And Technical College - Dental |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1900 28th Ave S, Moorhead, Minnesota |
| Authorized Official Name and Position | Thomas L Boe (DIRECTOR DENTAL DEPARTMEN) |
| Authorized Official Contact | 2182996819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota State Community And Technical College - Dental 1900 28th Ave S Moorhead MN 56560-4830 Ph: (218) 299-6560 | Minnesota State Community And Technical College - Dental 1900 28th Ave S Moorhead MN 56560-4830 Ph: (218) 299-6560 |
| NPI Number | 1518027754 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518027754 | NPI | - | NPPES |
| 041211 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
David P. Rostad, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S 5th St, Moorhead, MN 56560 Phone: 218-233-1754 Fax: 218-291-1640 | |
Jessica L. Hardy, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 2nd Ave S, Ste 106, Moorhead, MN 56560 Phone: 218-236-1666 | |
Christopher M Mathison Dds Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1616 30th Ave S, Moorhead, MN 56560 Phone: 218-223-4267 | |
Msctc Community Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 28th Ave S, Moorhead, MN 56560 Phone: 218-299-6819 Fax: 218-299-6532 | |
Jeffrey C, Harvey D.d.s., Sc.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 30th Ave S, Moorhead, MN 56560 Phone: 218-236-1322 Fax: 218-236-0719 | |
Robert V Toutges Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3505 8th St S, Suite 3, Moorhead, MN 56560 Phone: 218-287-2324 |