| Shetek Dental Care | |
|
2711 Broadway Ave Ste 100 Slayton MN 56172-1313 | |
| (507) 836-1000 | |
| (507) 836-1008 |
| Full Name | Shetek Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2711 Broadway Ave Ste 100, Slayton, Minnesota |
| Authorized Official Name and Position | Narla N. Hulstein (CLINIC MANAGER) |
| Authorized Official Contact | 5078361000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shetek Dental Care 2711 Broadway Ave Ste 100 Slayton MN 56172-1313 Ph: (507) 836-1000 | Shetek Dental Care 2711 Broadway Ave Ste 100 Slayton MN 56172-1313 Ph: (507) 836-1000 |
| NPI Number | 1770645145 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770645145 | NPI | - | NPPES |
| 791987500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8027057 (Minnesota) | Primary |
Shetek Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2711 Broadway Ave, Suite 100, Slayton, MN 56172 Phone: 507-836-1000 Fax: 507-836-1008 |