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Lone Oak Family Dentistry

Lone Oak Family Dentistry is a health care provider in Warren, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 205 W Johnson Ave, Ste. 3, Warren, MN 56762-1118, US
Practice Location Phone218-745-4601
Practice Location Fax218-745-4600
Legal Business NameLONE OAK FAMILY DENTISTRY
NPI ?1053739698
Entity TypeOrganization
Enumeration Date ? Apr 1, 2014
Last Update Date ? Apr 1, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lone Oak Family Dentistry

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice D12024Minnesota

legacy-id-icon Legacy Provider IDs of Lone Oak Family Dentistry

Provider IdIssuer StateIssuer TypeIssuer
473990600MinnesotaMedicaid

official-icon Authorized Official of Lone Oak Family Dentistry

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lone Oak Family Dentistry's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Travis Ammen Hanel
Authorized Official Title/PositionDENTIST
Authorized Official Phone Number218-745-4601