| William H E Kieper Dds Pa | |
|
780 West 4th Street Rush City MN 55069 | |
| (320) 358-3120 | |
| (320) 358-3288 |
| Full Name | William H E Kieper Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 780 West 4th Street, Rush City, Minnesota |
| Authorized Official Name and Position | William H E Kieper (PRESIDENT) |
| Authorized Official Contact | 3203583120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William H E Kieper Dds Pa Po Box 26 Rush City MN 55069 Ph: (320) 358-3120 | William H E Kieper Dds Pa 780 West 4th Street Rush City MN 55069 Ph: (320) 358-3120 |
| NPI Number | 1922181809 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922181809 | NPI | - | NPPES |
| 5464614 | Other | MN | STATE TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7652MN (Minnesota) | Primary |
Soft Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Eliot Ave, Rush City, MN 55069 Phone: 320-358-4733 Fax: 320-358-1073 |