| Joanna Christine Bourain, DDS | |
|
6936 Pine Arbor Dr S Ste 210, Cottage Grove, MN 55016-4672 | |
| (217) 540-8386 | |
| Not Available |
| Full Name | Joanna Christine Bourain |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 6936 Pine Arbor Dr S Ste 210, Cottage Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003482217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D14545 (Minnesota) | Primary |
| Entity Name | Hennepin County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Christine Bourain, DDS 6936 Pine Arbor Dr S Ste 210, Cottage Grove, MN 55016-4672 Ph: (805) 729-0090 | Joanna Christine Bourain, DDS 6936 Pine Arbor Dr S Ste 210, Cottage Grove, MN 55016-4672 Ph: (217) 540-8386 |
Dr. Robert Alvin Kretchmer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7430 80th St So, Suite 203, Cottage Grove, MN 55016 Phone: 651-459-3145 Fax: 651-254-7353 | |
Dr. Lisa Kathleen Amundson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6939 Pine Arbor Dr S, Suite A104, Cottage Grove, MN 55016 Phone: 651-459-3514 | |
Dr. Diane Vavrik Crater, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8063 Hadley Ave S, Cottage Grove, MN 55016 Phone: 651-459-4894 Fax: 651-458-4940 | |
David Gene Kelley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7500 80th St S, Cottage Grove, MN 55016 Phone: 651-459-3039 Fax: 651-459-9874 | |
Dr. Cheryl Lindgren, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6936 Pine Arbor Dr S, Suite 210, Cottage Grove, MN 55016 Phone: 651-769-1000 | |
Dr. Thomas W Waldron, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8811 92nd St S, Ste 109, Cottage Grove, MN 55016 Phone: 651-768-8180 Fax: 651-768-8184 |