| Riverside Dental Care,llc | |
|
217 Nassau St Saint Peter MN 56082-2055 | |
| (507) 931-5646 | |
| (507) 934-0148 |
| Full Name | Riverside Dental Care,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 217 Nassau St, Saint Peter, Minnesota |
| Authorized Official Name and Position | Michelle Denise Lund (OWNER) |
| Authorized Official Contact | 5079315646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Care,llc 217 Nassau St Saint Peter MN 56082-2055 Ph: (507) 931-5646 | Riverside Dental Care,llc 217 Nassau St Saint Peter MN 56082-2055 Ph: (507) 931-5646 |
| NPI Number | 1861579658 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861579658 | NPI | - | NPPES |
| J33063DAH | Other | MN | BCBS MEDICAL ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
St Peter Family Dental Center, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Sunrise Dr, Saint Peter, MN 56082 Phone: 507-931-1230 Fax: 507-931-1493 |