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NPI Code Detail

MEDICARE: QUINN DENTAL P.A.

MEDICARE: QUINN DENTAL P.A.
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
1261QD0000XDental Clinic/Center8042MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11275694606OTHERMNNPI
21578640272OTHERMNNPI
31619034378OTHERMNNPI
41992862601OTHERMNNPI

General Provider Information

NPI Number : 1992820393
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUINN DENTAL P.A.
Provider Business Mailing Address
First Line : 3938 CEDAR GROVE PKWY
Second Line :
City : EAGAN
State : MN
Zip : 55122-1403
Country : US
Telephone Number : 651-452-9660
Fax Number : 651-406-8544
Provider Business Practice Location Address
First Line : 3938 CEDAR GROVE PKWY
Second Line :
City : EAGAN
State : MN
Zip : 55122-1403
Country : US
Telephone Number : 651-452-9660
Fax Number : 651-406-8544
Authorized Official
Title or Position : OWNER
Name : DONALD ARTHUR QUINN JR.
Credential : DDS
Telephone Number : 651-452-9660
Provider Enumeration Date : 03/21/2007
Last Update Date : 08/22/2020

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1265437792 — DR. BENJAMIN STOUT OD
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1174528608 — DR. ERIN CARLSON OD
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1275694606 — DR. SIMONE K. AHUJA DDS
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1992862601 — DR. KATHLEEN KELLY KEY D.D.S.
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1477732337 — EAGAN EYE CLINIC LLC
Practice Location Address:
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Practice Fax: 651-454-5669

Directions to “QUINN DENTAL P.A. ” Practice Location

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