| Spring Lake Park Dentistry Pllc | |
|
8414 Fillmore St Ne Spring Lake Park MN 55432-1266 | |
| (763) 792-6672 | |
| Not Available |
| Full Name | Spring Lake Park Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8414 Fillmore St Ne, Spring Lake Park, Minnesota |
| Authorized Official Name and Position | Michael A Mcfarland (PRESIDENT) |
| Authorized Official Contact | 6513346957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Lake Park Dentistry Pllc N8811 1225th St River Falls WI 54022-4779 Ph: (651) 334-6957 | Spring Lake Park Dentistry Pllc 8414 Fillmore St Ne Spring Lake Park MN 55432-1266 Ph: (763) 792-6672 |
| NPI Number | 1598521304 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598521304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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