Eagan Smiles Dentistry, PC

NPI #1184093551 in Eagan, Minnesota

Provider Information

NPI Number: 1184093551
Entity Type: Organization
Organization Name: Eagan Smiles Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 16, 2015
Last Updated: Sep 16, 2015

Practice Location

Address: 3405 PROMENADE AVE
Address 2: SUITE 300
City: Eagan
State: Minnesota
ZIP Code: 55123-4404
Phone: (651) 236-7458

Authorized Official

Name: DR. PAUL S GEBHART, DDS
Title: OWNER
Phone: (651) 236-7458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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