| Todd A Thayer Dds Ms Pa | |
|
1050 Larpeuteur Avenue West St Paul MN 55113-6556 | |
| (651) 488-5622 | |
| (651) 489-2856 |
| Full Name | Todd A Thayer Dds Ms Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1050 Larpeuteur Avenue West, St Paul, Minnesota |
| Authorized Official Name and Position | Todd Anthony Thayer (PRESIDENT ORTHODONTIST) |
| Authorized Official Contact | 6514885622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd A Thayer Dds Ms Pa 1050 Larpeuteur Avenue West St Paul MN 55113-6556 Ph: (651) 488-5622 | Todd A Thayer Dds Ms Pa 1050 Larpeuteur Avenue West St Paul MN 55113-6556 Ph: (651) 488-5622 |
| NPI Number | 1407923733 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407923733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | MN10589 (Minnesota) | Primary |
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