| West River Dental | |
|
1106 W River Rd Detroit Lakes MN 56501-2723 | |
| (218) 846-1900 | |
| (218) 847-5079 |
| Full Name | West River Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1106 W River Rd, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | John R Jordan (OWNER) |
| Authorized Official Contact | 2188461900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West River Dental 1106 W River Rd Detroit Lakes MN 56501-2723 Ph: (218) 846-1900 | West River Dental 1106 W River Rd Detroit Lakes MN 56501-2723 Ph: (218) 846-1900 |
| NPI Number | 1609008051 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 08/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609008051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10689 (Minnesota) | Primary |
| 1223G0001X | Dentist - General Practice | D12441 (Minnesota) | Secondary |
Lakeridge Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Highway 10 E, Detroit Lakes, MN 56501 Phone: 218-847-9214 Fax: 218-847-9215 | |
Lakeridge Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Highway 10 E, Detroit Lakes, MN 56501 Phone: 218-847-9214 Fax: 218-847-9215 | |
Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-2624 Fax: 218-847-5792 |