| Maple Plain Dental, Pllc | |
|
2765 Kelley Pkwy Ste 140 Orono MN 55356-5802 | |
| (952) 449-9494 | |
| (952) 449-9499 |
| Full Name | Maple Plain Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2765 Kelley Pkwy Ste 140, Orono, Minnesota |
| Authorized Official Name and Position | Michael J Skramstad (OWNER) |
| Authorized Official Contact | 9524499494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Plain Dental, Pllc 2765 Kelley Pkwy Ste 140 Orono MN 55356-5802 Ph: (952) 449-9494 | Maple Plain Dental, Pllc 2765 Kelley Pkwy Ste 140 Orono MN 55356-5802 Ph: (952) 449-9494 |
| NPI Number | 1376716043 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376716043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11430 (Minnesota) | Primary |
Christina Mccullough Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2455 Shadywood Road, Orono, MN 55331 Phone: 952-471-9205 Fax: 952-471-0496 | |
Orono Dental Care Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2765 Kelley Parkway, Suite 140, Orono, MN 55356 Phone: 952-449-9494 Fax: 952-449-9499 |