| Mark Legan, | |
|
1004 Glen Paul Ct, Shoreview, MN 55126-8113 | |
| (651) 490-1158 | |
| Not Available |
| Full Name | Mark Legan |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1004 Glen Paul Ct, Shoreview, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013281302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8931 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Legan, 1004 Glen Paul Ct, Shoreview, MN 55126-8113 Ph: () - | Mark Legan, 1004 Glen Paul Ct, Shoreview, MN 55126-8113 Ph: (651) 490-1158 |
Dr. Ronald Miichael Smisek, DDS Dentist Medicare: Medicare Enrolled Practice Location: 501 Tanglewood Dr, Shoreview, MN 55126 Phone: 651-483-6747 Fax: 651-483-1863 | |
David H Johnson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4700 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-1858 Fax: 651-766-8400 | |
Patrick D Zawadski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Lexington Ave N, Shoreview, MN 55126 Phone: 651-283-7379 | |
Dr. Samy Wasfy Boulos, DDS Dentist Medicare: Medicare Enrolled Practice Location: 470 Highway 96 W Ste 200, Shoreview, MN 55126 Phone: 651-366-6880 Fax: 651-366-6881 | |
Jeffrey B. Norsted, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4700 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-1858 Fax: 651-766-8400 | |
Dr. Gary Ralph Smisek, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 Tanglewood Dr, Shoreview, MN 55126 Phone: 651-483-6747 Fax: 707-760-4579 |