| Nisswa Dental | |
|
25579 Church St Nisswa MN 56468-2834 | |
| (218) 963-2970 | |
| Not Available |
| Full Name | Nisswa Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25579 Church St, Nisswa, Minnesota |
| Authorized Official Name and Position | Craig Brian Johnson (OWNER / DENTIST) |
| Authorized Official Contact | 2189632970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisswa Dental Po Box 157 Nisswa MN 56468-0157 Ph: (218) 963-2970 | Nisswa Dental 25579 Church St Nisswa MN 56468-2834 Ph: (218) 963-2970 |
| NPI Number | 1801687173 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801687173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Luke Waln Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25477 Main St, Nisswa, MN 56468 Phone: 218-963-6330 Fax: 218-963-6332 |