| Oak Ridge Dental, Llc | |
|
625 E Nicollet Blvd Suite 310 Burnsville MN 55337-6734 | |
| (952) 435-0355 | |
| (952) 435-0390 |
| Full Name | Oak Ridge Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 625 E Nicollet Blvd, Burnsville, Minnesota |
| Authorized Official Name and Position | Jeffrey J Olson (CO-OWNER) |
| Authorized Official Contact | 9524350355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Ridge Dental, Llc 625 E Nicollet Blvd Suite 310 Burnsville MN 55337-6734 Ph: (952) 435-0355 | Oak Ridge Dental, Llc 625 E Nicollet Blvd Suite 310 Burnsville MN 55337-6734 Ph: (952) 435-0355 |
| NPI Number | 1225104458 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225104458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11326 (Minnesota) | Primary |
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