| Dr Paul Amundson, DDS | |
|
2500 Como Ave, Saint Paul, MN 55108-1460 | |
| (651) 647-2525 | |
| Not Available |
| Full Name | Dr Paul Amundson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2500 Como Ave, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851312250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6954 (Arizona) | Secondary |
| 1223G0001X | Dentist - General Practice | D12465 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Amundson, DDS 8170 33rd Ave S, Bloomington, MN 55425-4516 Ph: () - | Dr Paul Amundson, DDS 2500 Como Ave, Saint Paul, MN 55108-1460 Ph: (651) 647-2525 |
Dr. Julie C Haman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1514 White Bear Ave N, Saint Paul, MN 55106 Phone: 651-774-0311 Fax: 651-776-3286 | |
Dr. Charles H. Mendes, Dentist Medicare: Medicare Enrolled Practice Location: 550 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-699-0404 Fax: 651-699-9034 | |
Joseph Paul Trowbridge, DDS Dentist Medicare: Medicare Enrolled Practice Location: 30 7th St E, Suite101, Saint Paul, MN 55101 Phone: 651-227-6646 Fax: 651-227-6523 | |
Dr. Minerva C Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 Wabasha St N Ste 250, Saint Paul, MN 55102 Phone: 651-292-9331 | |
Dr. Jake Samuel Kalkstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373 | |
Freeman Newton Rosenblum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 Main St, Suite 400, Saint Paul, MN 55102 Phone: 651-224-4969 Fax: 651-223-8047 | |
Dr. Douglas Glen Walesheck, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1346 Payne Ave, Saint Paul, MN 55101 Phone: 651-774-6085 Fax: 651-774-2660 |