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Mr. Peter J Miskovich, DDS
General Practice Dentistry in Grand Rapids, Minnesota
NPI 1780759944

Peter J Miskovich is a General Practice Dentistry based in Grand Rapids, MN and is specialized in General Practice. Peter J Miskovich practices in Grand Rapids, MN and has the professional credentials of DDS. The NPI Number for Peter J Miskovich is 1780759944 and holds a License No. D11951 (Minnesota).

The current practice location address for Peter J Miskovich is 1121 Se 4Th Avenue, Grand Rapids, MN and can be reached out via phone at 218-326-3437 and via fax at 218-327-1211.

Location: 1121 Se 4Th Avenue, Grand Rapids, MN, 55744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780759944
Provider Name
Peter J Miskovich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1121 Se 4Th Avenue, Grand Rapids, MN, 55744
Phone Number
218-326-3437
Fax Number
218-327-1211
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1670908 01 UNITED CONCORDIA
275L7MI 01 MN BLUE CROSS AND SH OF MN
D11951 01 MN STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1121 Se 4Th Avenue
City
Grand Rapids
State
Minnesota
Zip
55744
Phone Number
218-326-3437
Fax Number
218-327-1211
person
Provider Business Mailing Address Details
Address
1121 Se 4Th Avenue
City
Grand Rapids
State
Minnesota
Zip
55744
Phone Number
218-326-3437
Fax Number
218-327-1211
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11951 (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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