| Hassan Mohamed Fouad Masroujeh, DMD | |
|
1700 Highway 36 W Ste 860, Roseville, MN 55113-4102 | |
| (651) 778-9911 | |
| Not Available |
| Full Name | Hassan Mohamed Fouad Masroujeh |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1700 Highway 36 W Ste 860, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356918726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D14577 (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 |
|---|---|
| Hassan Mohamed Fouad Masroujeh, DMD 8064 Ensign Rd, Minneapolis, MN 55438-1025 Ph: () - | Hassan Mohamed Fouad Masroujeh, DMD 1700 Highway 36 W Ste 860, Roseville, MN 55113-4102 Ph: (651) 778-9911 |
Stephanie Mazhari Huang, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 708 County Road B W, Roseville, MN 55113 Phone: 651-489-0161 Fax: 651-489-9938 | |
Dr. Kirk Roland Baumgardner, DDS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-746-0587 Fax: 651-636-1118 | |
Dr. Douglas Kenneth Keim,, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 210, Roseville, MN 55113 Phone: 651-631-2944 Fax: 651-639-1439 | |
Michael Warren Geiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 111, Roseville, MN 55113 Phone: 651-633-5087 Fax: 651-633-5148 | |
Dr. Teodora Nikolaeva Baylon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2233 Hamline Ave N, Roseville, MN 55113 Phone: 651-636-0655 | |
Craig Anthony Sulzdorf, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1912 Lexington Ave N Ste 200, Roseville, MN 55113 Phone: 651-631-3610 | |
Dr. Pamela Jean Holm, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, #220, Roseville, MN 55113 Phone: 651-636-2123 Fax: 651-636-2614 |