person
Dr. Jack Louis Churchill, DDS
General Practice Dentistry in Minneapolis, Minnesota
NPI 1427154020

Jack Louis Churchill is a General Practice Dentistry based in Plymouth, MN and is specialized in General Practice. Jack Louis Churchill practices in Minneapolis, MN and has the professional credentials of DDS. The NPI Number for Jack Louis Churchill is 1427154020 and holds a License No. 8747 (Minnesota).

The current practice location address for Jack Louis Churchill is 825 Nicollet Mall, Minneapolis, MN and can be reached out via phone at 612-333-8988 and via fax at 612-339-3618.

Location: 825 Nicollet Mall, Minneapolis, MN, 55447-4526
person
Provider Profile Details
NPI Number
1427154020
Provider Name
Jack Louis Churchill
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
825 Nicollet Mall, Minneapolis, MN, 55447-4526
Phone Number
612-333-8988
Fax Number
612-339-3618
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
825 Nicollet Mall
City
State
Zip
55402-2606
Phone Number
612-333-8988
Fax Number
612-339-3618
person
Provider Business Mailing Address Details
Address
825 Nicollet Mall
City
State
Zip
55402-2606
Phone Number
612-333-8988
Fax Number
612-339-3618
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
8747 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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