Prairie Dental Centers Pa is a health care provider in Ada, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||200 E Main St, Ada, MN 56510, US|
|Practice Location Phone||218-784-7119|
|Practice Location Fax||218-784-2381|
|Legal Business Name||PRAIRIE DENTAL CENTERS PA|
|Enumeration Date ?||Dec 11, 2006|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice||10681||Minnesota|
|Dentist||Dental Providers||General Practice||10680||Minnesota|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Prairie Dental Centers Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||David Resnick (DDS)|
|Authorized Official Title/Position||CFO|
|Authorized Official Phone Number||218-784-7119|