MEDICARE: LING FAMILY DENTISTRY, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D11532	MN

General Provider Information

NPI Number	:	1184701898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LING FAMILY DENTISTRY, P.A.

Provider Business Mailing Address
First Line	:	7766 HIGHWAY 65 NE
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2832
Country	:	US
Telephone Number	:	763-784-1993
Fax Number	:	763-784-1575

Provider Business Practice Location Address
First Line	:	7766 HIGHWAY 65 NE
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2832
Country	:	US
Telephone Number	:	763-784-1993
Fax Number	:	763-784-1575

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. MICHAEL DAVID LING
Credential	:	D.D.S.
Telephone Number	:	763-784-1993

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1659343127 — DR. MICHAEL DAVID LING DDS
Practice Location Address:

7766 HIGHWAY 65 NE
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1437121944 — DR. JODI MARIE LAMOUREUX DDS
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1245202753 — GREGORY WILLIAM LING DDS
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1023084076 — BRUCE H FIELD MD
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1346287158 — MULTICENTER PHYSICAL THERAPY, LLC
Practice Location Address:

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1497848584 — MR. PETER JOHN LINDQUIST P.T.
Practice Location Address:

7700 HIGHWAY 65 NE
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Practice Fax: 763-784-2352

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