| Ridges Dental | |
|
625 E Nicollet Blvd Ste 202 Burnsville MN 55337-6735 | |
| (952) 435-0300 | |
| (952) 435-0360 |
| Full Name | Ridges Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 625 E Nicollet Blvd Ste 202, Burnsville, Minnesota |
| Authorized Official Name and Position | John Mittelsteadt (OWNER) |
| Authorized Official Contact | 6516819044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridges Dental 625 E Nicollet Blvd Ste 202 Burnsville MN 55337-6735 Ph: (952) 435-0300 | Ridges Dental 625 E Nicollet Blvd Ste 202 Burnsville MN 55337-6735 Ph: (952) 435-0300 |
| NPI Number | 1336656768 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336656768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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