MEDICARE: JENNIFER JO LABERGE 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
1	122300000X	Dentist	011997	MN

General Provider Information

NPI Number	:	1669517579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JO LABERGE DDS

Provider Business Mailing Address
First Line	:	21080 OLINDA TRAIL N
Second Line	:
City	:	SCANDIA
State	:	MN
Zip	:	55073
Country	:	US
Telephone Number	:	615-433-2655
Fax Number	:

Provider Business Practice Location Address
First Line	:	21080 OLINDA TRAIL N
Second Line	:
City	:	SCANDIA
State	:	MN
Zip	:	55073
Country	:	US
Telephone Number	:	615-433-2655
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1033284815 — MICHAEL F MCGRANE MSW LICSW
Practice Location Address:

22797 MEADOWBROOK AVE N
SCANDIA, MN
55073-9429

Practice Phone: 651-491-9953
Practice Fax:

1194886630 — SCANDIA FAMILY DENTAL PA
Practice Location Address:

21080 OLINDA TRAIL N
SCANDIA, MN
55073

Practice Phone: 651-433-2655
Practice Fax: 651-433-2655

1952464547 — HAVEN CHEMICAL HEALTH SYSTEMS, LLC
Practice Location Address:

21077 PENROSE AVE N
SCANDIA, MN
55073-9710

Practice Phone: 651-433-5839
Practice Fax: 651-433-5921

1528103041 — DR. LELAND JAMES KENDRICK DC
Practice Location Address:

21080 OLINDA TRL N , BOX 4
SCANDIA, MN
55073-9492

Practice Phone: 651-433-5750
Practice Fax: 651-433-5750

1740325299 — KENDRICK CHIROPRACTIC CLINIC LTD.
Practice Location Address:

21080 OLINDA TRL N , BOX 4
SCANDIA, MN
55073-9492

Practice Phone: 651-433-5750
Practice Fax: 651-433-5750

1760527287 — DR. JENNIFER LYNN TONNESON DC
Practice Location Address:

21080 OLINDA TRL N , BOX 4
SCANDIA, MN
55073-9492

Practice Phone: 651-433-5750
Practice Fax: 651-433-5750

Directions to “ JENNIFER JO LABERGE DDS” 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.