| Pillager Country Dental Llc | |
|
727 Buckskin Ave W Pillager MN 56473 | |
| (218) 746-4555 | |
| (218) 746-4558 |
| Full Name | Pillager Country Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 727 Buckskin Ave W, Pillager, Minnesota |
| Authorized Official Name and Position | Daniel Edward Rose (DOCTOR/ OWNER) |
| Authorized Official Contact | 2187464555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillager Country Dental Llc 727 Buckskin Ave W. Pillager MN 56473 Ph: (218) 746-4555 | Pillager Country Dental Llc 727 Buckskin Ave W Pillager MN 56473 Ph: (218) 746-4555 |
| NPI Number | 1558463869 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558463869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8709 (Minnesota) | Primary |
Heidi Fletcher, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Buckskin Ave W, Pillager, MN 56473 Phone: 218-746-4555 |