Prairie Dental Group

NPI #1104057975 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1104057975
Entity Type: Organization
Organization Name: Prairie Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 28, 2009
Last Updated: Jul 28, 2009

Practice Location

Address: 6608 FLYING CLOUD DR
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-3381
Phone: (952) 903-5000

Authorized Official

Name: MS. CARYL LEACH
Title: ADMINISTRATOR
Phone: (952) 903-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - General Practice — General Practice	1223G0001X	Primary

Similar Providers

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DR. Michael J Gallagher, DDS	Dentist - General Practice	Eden Prairie	AI Deep Dive
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DR. Bruce Raymond Merry	Dentist - General Practice	Eden Prairie	AI Deep Dive
Kathy Ann Arnold, D.D.S.	Dentist - General Practice	Eden Prairie	AI Deep Dive
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