institution
John D. Nydahl, Dds, P. A.
Dental Clinic/Center in Saint Cloud, Minnesota
NPI 1174547855

John D. Nydahl, Dds, P. A. is a Dental Clinic/Center based in Saint Cloud, MN and is specialized in Dental. John D. Nydahl, Dds, P. A. practices in Saint Cloud, MN. The NPI Number for John D. Nydahl, Dds, P. A. is 1174547855 and holds a License No. D8204 (Minnesota).

The current practice location address for John D. Nydahl, Dds, P. A. is 1011 2Nd St N Ste 101, Saint Cloud, MN and can be reached out via phone at 320-253-0744 and via fax at 320-253-9930.

Location: 1011 2Nd St N Ste 101, Saint Cloud, MN, 56303-3237
institution
Provider Profile Details
NPI Number
1174547855
Provider Name
John D. Nydahl, Dds, P. A.
Credential
Provider Entity Type
Organization
Address
1011 2Nd St N Ste 101, Saint Cloud, MN, 56303-3237
Phone Number
320-253-0744
Fax Number
320-253-9930
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55162NY 01 MN BLUE CROSS BLUE SHIELD
D8204 01 MN DELTA DENTAL
institution
Provider Business Practice Location Address Details
Address
1011 2Nd St N Ste 101
City
State
Zip
56303-3237
Phone Number
320-253-0744
Fax Number
320-253-9930
person
Provider Business Mailing Address Details
Address
1011 2Nd St N Ste 101
City
State
Zip
56303-3237
Phone Number
320-253-0744
Fax Number
320-253-9930
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D8204 (Minnesota)
Definition
Definition to come...
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