MEDICARE: FRONTLINE DENTAL

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1346896297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTLINE DENTAL

Provider Business Mailing Address
First Line	:	6973 ARCHER PL
Second Line	:
City	:	INVER GROVE HEIGHTS
State	:	MN
Zip	:	55077-1000
Country	:	US
Telephone Number	:	763-225-7033
Fax Number	:

Provider Business Practice Location Address
First Line	:	4045 BROOKSIDE AVE
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-2808
Country	:	US
Telephone Number	:	763-225-7033
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. ERNEST JUEAN
Credential	:	DDS
Telephone Number	:	763-225-7033

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	08/16/2019

Similar Medicare Providers

1023076973 — DR. DUANE E EVANS DDS
Practice Location Address:

4047 BROOKSIDE AVE
ST LOUIS PARK, MN
55416-2808

Practice Phone: 612-823-6483
Practice Fax:

1790857449 — DR. R BRUCE KOBS DDS
Practice Location Address:

4045 BROOKSIDE AVE
ST LOUIS PARK, MN
55416-2808

Practice Phone: 952-924-0709
Practice Fax: 952-924-0709

1982733341 — DR. LUKE ALLEN FOSTER DDS
Practice Location Address:

4045 BROOKSIDE AVE
ST LOUIS PARK, MN
55416-2808

Practice Phone: 952-924-0709
Practice Fax:

1952525701 — DR. PETER A. BERVEN DDS
Practice Location Address:

4033 BROOKSIDE AVE
ST LOUIS PARK, MN
55416-2808

Practice Phone: 952-933-5808
Practice Fax:

1801012083 — ISMAIL HASSAN MUALIN M.D
Practice Location Address:

4039 BROOKSIDE AVE
SAINT LOUIS PARK, MN
55416-2808

Practice Phone: 612-473-9392
Practice Fax:

1265817860 — MICHELLE MARY EUL NP
Practice Location Address:

2808 COLORADO AVE S
ST LOUIS PARK, MN
55416-1827

Practice Phone: 612-599-1128
Practice Fax:

Directions to “FRONTLINE DENTAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.