| Smiles On Seventh, Ltd. | |
|
2390 7th St W Saint Paul MN 55116-2800 | |
| (651) 699-1234 | |
| (651) 699-7715 |
| Full Name | Smiles On Seventh, Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2390 7th St W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Ann Elizabeth Jennen (DENTIST) |
| Authorized Official Contact | 6516991234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Seventh, Ltd. 2390 7th St W Saint Paul MN 55116-2800 Ph: (651) 699-1234 | Smiles On Seventh, Ltd. 2390 7th St W Saint Paul MN 55116-2800 Ph: (651) 699-1234 |
| NPI Number | 1821228347 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821228347 | NPI | - | NPPES |
| 0316022000 | Medicaid | MN | |
| 0316022000 | Other | MN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D11243 (Minnesota) | Primary |
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