| Gendler Dental Center Inc | |
|
1222 Mainstreet 1 Hopkins MN 55343-7521 | |
| (952) 836-1113 | |
| (952) 836-1184 |
| Full Name | Gendler Dental Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1222 Mainstreet, Hopkins, Minnesota |
| Authorized Official Name and Position | Joseph Gendler (OWNER) |
| Authorized Official Contact | 9528361113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gendler Dental Center Inc 1222 Mainstreet Hopkins MN 55343-8877 Ph: (952) 836-1113 | Gendler Dental Center Inc 1222 Mainstreet 1 Hopkins MN 55343-7521 Ph: (952) 836-1113 |
| NPI Number | 1952406753 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 0244652253 |
|---|---|
| Medicare Enrollment ID | O20200622000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952406753 | NPI | - | NPPES |
| 742317900 | Other | MN | MEDICAL ASSISTANT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Joseph Gendler |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306836291 PECOS PAC ID: 1153743166 Enrollment ID: I20200622000648 |
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