| Nicole Tripp Dds Pllc | |
|
33 Birch Ave S Maple Lake MN 55358-4570 | |
| (320) 963-3794 | |
| (320) 547-4002 |
| Full Name | Nicole Tripp Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 33 Birch Ave S, Maple Lake, Minnesota |
| Authorized Official Name and Position | Nicole Leigh Tripp (OWNER) |
| Authorized Official Contact | 3209633794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Tripp Dds Pllc Po Box 67 Maple Lake MN 55358-0067 Ph: (320) 963-3794 | Nicole Tripp Dds Pllc 33 Birch Ave S Maple Lake MN 55358-4570 Ph: (320) 963-3794 |
| NPI Number | 1770339590 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770339590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |