| Prairie Family Dental | |
|
220 Lake St S Ste 103 Long Prairie MN 56347-1548 | |
| (320) 533-0240 | |
| Not Available |
| Full Name | Prairie Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 220 Lake St S Ste 103, Long Prairie, Minnesota |
| Authorized Official Name and Position | Heather Holt (DENTIST) |
| Authorized Official Contact | 3505334010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Family Dental 220 Lake St S Ste 103 Long Prairie MN 56347-1548 Ph: (320) 533-4010 | Prairie Family Dental 220 Lake St S Ste 103 Long Prairie MN 56347-1548 Ph: (320) 533-0240 |
| NPI Number | 1619552346 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619552346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lakeland Dental P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 1st Ave Se, Long Prairie, MN 56347 Phone: 320-732-6141 | |
Long Prairie Dental Clinic Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 1st Ave Se, Long Prairie, MN 56347 Phone: 320-732-6141 Fax: 320-732-6543 |