institution
Friendly Dental
Dental Clinic/Center in Worthington, Minnesota
NPI 1770672958

Friendly Dental is a Dental Clinic/Center based in Worthington, MN and is specialized in Dental. Friendly Dental practices in Worthington, MN. The NPI Number for Friendly Dental is 1770672958 and holds a License No. 10185 (Minnesota).

The current practice location address for Friendly Dental is 1316 Mcmillan St, Worthington, MN and can be reached out via phone at 507-376-5525 and via fax at 507-376-3796.

Location: 1316 Mcmillan St, Worthington, MN, 56187-1646
institution
Provider Profile Details
NPI Number
1770672958
Provider Name
Friendly Dental
Credential
Provider Entity Type
Organization
Address
1316 Mcmillan St, Worthington, MN, 56187-1646
Phone Number
507-376-5525
Fax Number
507-376-3796
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
820-6852 01 UNITED CONCORDIA
46483JO 01 BLUE CROSS BLUE SHIELD
675-2375 01 MN TAX ID
10185 01 FM DELTA
687623400 01 MN MINNESOTA MEDICAID - OFC.
0964114 01 IA DELTA
10185 01 FM DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1316 Mcmillan St
City
State
Zip
56187-1646
Phone Number
507-376-5525
Fax Number
507-376-3796
person
Provider Business Mailing Address Details
Address
1316 Mcmillan St
City
State
Zip
56187-1646
Phone Number
507-376-5525
Fax Number
507-376-3796
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
10185 (Minnesota)
Definition
Definition to come...
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