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4th Avenue Dental, Pa, Dba Oak Park Dental
General Practice Dentistry in Pine City, Minnesota
NPI 1609298355

4th Avenue Dental, Pa, Dba Oak Park Dental is a General Practice Dentistry based in Pine City, MN and is specialized in General Practice. 4th Avenue Dental, Pa, Dba Oak Park Dental practices in Pine City, MN. The NPI Number for 4th Avenue Dental, Pa, Dba Oak Park Dental is 1609298355 and holds a License No. D11935 (Minnesota).

The current practice location address for 4th Avenue Dental, Pa, Dba Oak Park Dental is 505 Johnson Ave Se, Pine City, MN and can be reached out via phone at 320-629-2282 and via fax at 320-629-3357.

Location: 505 Johnson Ave Se, Pine City, MN, 55063-2108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609298355
Provider Name
4th Avenue Dental, Pa, Dba Oak Park Dental
Credential
Provider Entity Type
Organization
Address
505 Johnson Ave Se, Pine City, MN, 55063-2108
Phone Number
320-629-2282
Fax Number
320-629-3357
Provider Enumeration Date
01/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 Johnson Ave Se
City
Pine City
State
Minnesota
Zip
55063-2108
Phone Number
320-629-2282
Fax Number
320-629-3357
person
Provider Business Mailing Address Details
Address
505 Johnson Ave Se
City
Pine City
State
Minnesota
Zip
55063-2108
Phone Number
320-629-2282
Fax Number
320-629-3357
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11935 (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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