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.
|Practice Location|| 205 W Johnson Ave, Ste. 3, Warren, MN 56762-1118, US |
|Practice Location Phone||218-745-4601|
|Practice Location Fax||218-745-4600|
|Legal Business Name||LONE OAK FAMILY DENTISTRY|
|Enumeration Date ? ||Apr 1, 2014|
|Last Update Date ? ||Apr 1, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Lone Oak Family Dentistry
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice ||D12024||Minnesota|
Legacy Provider IDs of Lone Oak Family Dentistry
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||DENTIST|
|Authorized Official Phone Number||218-745-4601|