| Summit Dental P.A. | |
|
10756 Butternut St Nw Coon Rapids MN 55448-4448 | |
| (763) 757-4170 | |
| (763) 757-7940 |
| Full Name | Summit Dental P.A. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10756 Butternut St Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Erik William Marksberry (OWNER) |
| Authorized Official Contact | 7637574170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental P.A. 10756 Butternut St Nw Coon Rapids MN 55448-4448 Ph: (763) 757-4170 | Summit Dental P.A. 10756 Butternut St Nw Coon Rapids MN 55448-4448 Ph: (763) 757-4170 |
| NPI Number | 1295907202 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295907202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11789 (Minnesota) | Primary |
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