| Wayzata Endodontics Pa | |
|
250 N Central Ave Suite 303 Wayzata MN 55391 | |
| (952) 476-0070 | |
| Not Available |
| Full Name | Wayzata Endodontics Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 250 N Central Ave, Wayzata, Minnesota |
| Authorized Official Name and Position | Gregory Vincent Otoole (PRESIDENT) |
| Authorized Official Contact | 9524760070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayzata Endodontics Pa 250 N Central Ave Suite 303 Wayzata MN 55391 Ph: (952) 476-0070 | Wayzata Endodontics Pa 250 N Central Ave Suite 303 Wayzata MN 55391 Ph: (952) 476-0070 |
| NPI Number | 1508926841 |
|---|---|
| Provider Enumeration Date | 12/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508926841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 9011 (Minnesota) | Primary |
| 1223E0200X | Dentist - Endodontics | 11543 (Minnesota) | Secondary |
Michael J Harrison Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 East Wayzata Blvd, Suite 320, Wayzata, MN 55391 Phone: 952-475-2907 | |
Monica Kennard,d.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Suite 211, Wayzata, MN 55391 Phone: 952-475-3135 Fax: 952-475-1936 | |
Family And Cosmetic Gentle Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 Wayzata Blvd, Suite 320, Wayzata, MN 55391 Phone: 952-224-9774 Fax: 952-224-9791 | |
Bruce Martinson Family & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E Wayzata Blvd, Wayzata, MN 55391 Phone: 952-473-4639 Fax: 952-473-1788 | |
Lake Minnetonka Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Bushaway Rd Ste 300, Wayzata, MN 55391 Phone: 952-475-0225 | |
Oral And Maxillofacial Surgical Consultants Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Central Ave N, Suite126, Wayzata, MN 55391 Phone: 952-475-2266 Fax: 952-475-0637 | |
Northland Dental Partners, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Lake St E Ste 216, Wayzata, MN 55391 Phone: 952-473-4124 Fax: 952-473-0834 |