| Northland Dental Partners, Pllc | |
|
44 Saint Croix Trl S Ste 100 Lakeland MN 55043-9657 | |
| (651) 436-5177 | |
| (651) 436-5322 |
| Full Name | Northland Dental Partners, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 Saint Croix Trl S Ste 100, Lakeland, Minnesota |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Dental Partners, Pllc 44 Saint Croix Trl S Ste 100 Lakeland MN 55043-9657 Ph: (651) 436-5177 | Northland Dental Partners, Pllc 44 Saint Croix Trl S Ste 100 Lakeland MN 55043-9657 Ph: (651) 436-5177 |
| NPI Number | 1568110997 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568110997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |