| O'brien Dental Care | |
|
250 Fuller St S Suite 250 Shakopee MN 55379 | |
| (952) 445-6657 | |
| (952) 445-0674 |
| Full Name | O'brien Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 250 Fuller St S, Shakopee, Minnesota |
| Authorized Official Name and Position | Jodeen J O'brien (OWNER/DENTIST) |
| Authorized Official Contact | 9524456657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O'brien Dental Care 250 Fuller St S Suite 250 Shakopee MN 55379 Ph: (952) 445-6657 | O'brien Dental Care 250 Fuller St S Suite 250 Shakopee MN 55379 Ph: (952) 445-6657 |
| NPI Number | 1710086459 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 1850651753 |
|---|---|
| Medicare Enrollment ID | O20180215000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710086459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Jodeen J O'brien |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1538151725 PECOS PAC ID: 7719283274 Enrollment ID: I20180309000329 |
| Provider Name | Miranda J Mulligan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1073961157 PECOS PAC ID: 8729375647 Enrollment ID: I20180327000083 |
| Provider Name | Holly M Mcmahon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205129202 PECOS PAC ID: 0648577965 Enrollment ID: I20210507001844 |
| Provider Name | Charles B Wenner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1437721982 PECOS PAC ID: 9537563598 Enrollment ID: I20210812002415 |
True North Community Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 East First Avenue, Shakopee, MN 55379 Phone: 952-403-5149 | |
Gentle Dentistry Of Minnesota, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8074 Old Carriage Ct, Shakopee, MN 55379 Phone: 952-746-0808 Fax: 952-746-0866 | |
Progressive Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 1st Ave E, Shakopee, MN 55379 Phone: 952-445-6622 Fax: 952-314-9610 | |
Family Orthodontic Specialists Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1759 17th Ave E, Shakopee, MN 55379 Phone: 952-746-8996 Fax: 952-746-8996 | |
Cities Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 1st Ave E, Shakopee, MN 55379 Phone: 952-445-6220 | |
Kuhr Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Lewis St S Ste 101, Shakopee, MN 55379 Phone: 952-445-3349 | |
Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 1st Ave E, Shakopee, MN 55379 Phone: 952-445-5510 Fax: 952-496-9728 |