| The Dental Office Jackson | |
|
604 2nd St Jackson MN 56143-1646 | |
| (507) 847-3910 | |
| (507) 847-2868 |
| Full Name | The Dental Office Jackson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 604 2nd St, Jackson, Minnesota |
| Authorized Official Name and Position | Hannah Caroline Brownlee (DENTIST/OWNER) |
| Authorized Official Contact | 5153719712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Office Jackson 604 2nd St Jackson MN 56143-1646 Ph: (507) 847-3910 | The Dental Office Jackson 604 2nd St Jackson MN 56143-1646 Ph: (507) 847-3910 |
| NPI Number | 1396468690 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396468690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Paul A Roggow Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Second Street, Jackson, MN 56143 Phone: 507-847-3910 Fax: 507-847-2868 | |
Chad Brown, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 2nd St, Jackson, MN 56143 Phone: 507-847-3910 |