Unknown Individual – Dentist, NPI 1568423010
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
153, Cesar Chavez Street, Saint Paul, Ramsey County, Minnesota, 55107, United States
SAINT PAUL, MN 551072226
Phone: (651) 222-1816
Fax: (651) 602-7517
Type: Location
6981, Kenmare Drive, Bloomington Ferry, Bloomington, Hennepin County, Minnesota, 55438, United States
BLOOMINGTON, MN 554382831
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55107)
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