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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAIN STREET DENTAL OF KENYON PA

Active Organization

MAIN STREET DENTAL OF KENYON PA is a Dental Clinic organization located in KENYON, Minnesota. NPI 1700136116 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · KENYON, MN

Registration Details

NPI Number
1700136116
Provider Type
Organization
NPI Issued
Sep 12, 2012 (13.904604115498 yrs)
Last Updated
Jun 30, 2019
License
D12683 (MN)

Practice Information

Address
216 FOREST ST
KENYON, MN, 55946
Browse MN providers · Browse ZIP 55946
Phone
5077896815
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.