| Martin A Tahara, DMD, MD | |
|
1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 | |
| (651) 439-8030 | |
| (651) 351-0821 |
| Full Name | Martin A Tahara |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1701 Curve Crest Blvd W, Stillwater, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053381061 | NPI | - | NPPES |
| 33761200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D11409 (Minnesota) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5219-015 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Martin A Tahara, DMD, MD 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 Ph: (651) 439-8030 | Martin A Tahara, DMD, MD 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 Ph: (651) 439-8030 |
Dr. Sarah Louise Bogel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1395 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-430-0036 | |
Timothy Huska, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13961 60th St N, Stillwater, MN 55082 Phone: 651-439-2600 | |
Richard L Schneider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 126 Main St N, Stillwater, MN 55082 Phone: 651-439-3637 Fax: 651-439-4655 | |
Steven D Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082 Phone: 651-439-8030 Fax: 651-351-0821 | |
Dr. Polly Jo Courtney Logan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13961 60th St, St Croix Valley Dental, Stillwater, MN 55082 Phone: 651-439-2600 Fax: 651-439-2211 | |
Carson Cannon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2850 Curve Crest Blvd W Ste 200, Stillwater, MN 55082 Phone: 651-439-9400 |