MEDICARE: DENNIS A SMITH M.S.W.

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	106H00000X	Marriage & Family Therapist	470	MN

General Provider Information

NPI Number	:	1629170543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS A SMITH M.S.W.

Provider Business Mailing Address
First Line	:	2101 WHITETAIL RDG
Second Line	:
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-1034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 HIGHWAY 96 E
Second Line	:	SUITE 202 A
City	:	WHITE BEAR LAKE
State	:	MN
Zip	:	55110-3624
Country	:	US
Telephone Number	:	651-587-4531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1518976331 — MS. JO LYNN ROHADY MS RN CS
Practice Location Address:

1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN
55110-3624

Practice Phone: 651-426-3071
Practice Fax: 651-426-3095

1417052465 — KATHLEEN B KEANE LP
Practice Location Address:

1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN
55110-3624

Practice Phone: 651-714-8007
Practice Fax:

1659477495 — REBECCA R FRAENKEL LP
Practice Location Address:

1310 HIGHWAY 96 E , SUITE 200
WHITE BEAR LAKE, MN
55110-3624

Practice Phone: 651-426-3071
Practice Fax: 651-426-3095

1659477784 — LINDA CHEREK LICSW
Practice Location Address:

1310 HIGHWAY 96 E
WHITE BEAR LAKE, MN
55110-3624

Practice Phone: 651-426-3071
Practice Fax:

1881792174 — MARY ELLEN LOUISE VIDOVIC LICSW
Practice Location Address:

1310 HIGHWAY 96 E , SUITE 200
WHITE BEAR LAKE, MN
55110-3624

Practice Phone: 651-426-3071
Practice Fax:

1730289885 — DR. MITCHEL VINCENT MONDO D.C.
Practice Location Address:

1310 HIGHWAY 96 E , SUITE # 206
WHITE BEAR LAKE, MN
55110-3624

Practice Phone: 651-429-0101
Practice Fax: 651-407-3163

Directions to “ DENNIS A SMITH M.S.W.” 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 © 2007-2025 (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.