| Parkway Place Dental | |
|
101 W Burnsville Parkway Suite 222 Burnsville MN 55337-2572 | |
| (952) 895-6933 | |
| (952) 895-6976 |
| Full Name | Parkway Place Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 W Burnsville Parkway, Burnsville, Minnesota |
| Authorized Official Name and Position | Dwight Griffith Buller (PRESIDENT) |
| Authorized Official Contact | 9528956933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Place Dental 101 W Burnsville Parkway Suite 222 Burnsville MN 55337-2572 Ph: (952) 895-6933 | Parkway Place Dental 101 W Burnsville Parkway Suite 222 Burnsville MN 55337-2572 Ph: (952) 895-6933 |
| NPI Number | 1477626646 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477626646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7528 (Minnesota) | Primary |
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