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NPI Code Detail

MEDICARE: DR. ELIZABETH EGGERT DDS

MEDICARE:  DR. ELIZABETH  EGGERT  DDS
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
11223G0001XGeneral Practice Dentistry11799MN

General Provider Information

NPI Number : 1306838230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH EGGERT DDS
Provider Business Mailing Address
First Line : 1301 7TH ST SW
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-7653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 VILLAGE CENTER DR
Second Line : SUITE 160
City : NORTH OAKS
State : MN
Zip : 55127-3019
Country : US
Telephone Number : 651-482-8412
Fax Number : 651-482-8376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ELIZABETH EGGERT DDS” Practice Location

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