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NPI Code Detail

MEDICARE: ROBERT DANIEL MCNAMARA D.D.S.

MEDICARE:   ROBERT DANIEL MCNAMARA  D.D.S.
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 Dentistry9102MN

General Provider Information

NPI Number : 1740381136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DANIEL MCNAMARA D.D.S.
Provider Business Mailing Address
First Line : 880 SIBLEY MEMORIAL HWY
Second Line : SUITE 111
City : MENDOTA HEIGHTS
State : MN
Zip : 55118-1736
Country : US
Telephone Number : 651-455-4223
Fax Number :
Provider Business Practice Location Address
First Line : 880 SIBLEY MEMORIAL HWY
Second Line : SUITE 111
City : MENDOTA HEIGHTS
State : MN
Zip : 55118-1736
Country : US
Telephone Number : 651-455-4223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT DANIEL MCNAMARA D.D.S.” Practice Location

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