| St. Anthony Village Dental Care, P.a. | |
|
2525 33rd Ave Ne St Anthony MN 55418-1539 | |
| (612) 781-9270 | |
| Not Available |
| Full Name | St. Anthony Village Dental Care, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2525 33rd Ave Ne, St Anthony, Minnesota |
| Authorized Official Name and Position | Joseph B Osterbauer (PRESIDENT) |
| Authorized Official Contact | 6127819270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Anthony Village Dental Care, P.a. 2525 33rd Ave Ne St Anthony MN 55418-1539 Ph: (612) 781-9270 | St. Anthony Village Dental Care, P.a. 2525 33rd Ave Ne St Anthony MN 55418-1539 Ph: (612) 781-9270 |
| NPI Number | 1659660298 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659660298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10494 (Minnesota) | Primary |
Saint Anthony Village Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 33rd Ave Ne, St Anthony, MN 55418 Phone: 612-781-9270 Fax: 612-767-3490 |