NPI 1124456421

Excelsior Dental Care

Organisation Point of Service Baxter, MN

Practice location

Address: 7814 Excelsior Rd, Baxter, MN 56425-8427
Phone: (218) 829-8863
Fax: (218) 829-8863

Authorised official

Name: Stacy Hillman
Title: Front Desk Manager
Phone: (218) 829-8863

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 9105 (MN)

Other Point of Service providers in Minnesota →

Registry record

NPI: 1124456421
Entity type: Organization
NPI issued: 23 Oct 2013
Record last updated: 23 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.