| Pelican Dental | |
|
28 E Mill Ave Ste 1 Pelican Rapids MN 56572-4229 | |
| (218) 863-5858 | |
| (218) 863-1143 |
| Full Name | Pelican Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28 E Mill Ave Ste 1, Pelican Rapids, Minnesota |
| Authorized Official Name and Position | David Michael Ditch (OWNER/DENTIST) |
| Authorized Official Contact | 2188635858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Dental Po Box 342 Pelican Rapids MN 56572-0342 Ph: (218) 863-5858 | Pelican Dental 28 E Mill Ave Ste 1 Pelican Rapids MN 56572-4229 Ph: (218) 863-5858 |
| NPI Number | 1831689884 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831689884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10376 (Minnesota) | Primary |
Lakeland Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 5th Ave Ne, Pelican Rapids, MN 56572 Phone: 218-863-7511 |