is a Dental Clinic in Bloomington, Minnesota. It is located at 8910 Penn Ave S, Bloomington, MN and its contact number is 952-881-0504. The authorized person for is Dr. Frank Russomanno Jr.
who is Owner of the clinic and their contact number is 952-881-0504. The primary license number for is D11333 (Dentist) in Minnesota. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
8910 Penn Ave S, Bloomington, Minnesota, 55431-2025
Phone:
952-881-0504
Fax:
952-884-0188
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Frank Russomanno Jr.
Position:
Owner
Contact Number:
952-881-0504
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1598129942
NPI Enumeration Date:
12 Apr, 2016
NPI Last Update On:
12 Apr, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Dentist
D11333
Minnesota
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8910 Penn Ave S, Bloomington, Minnesota
Zip:
55431-2025
Phone Number:
952-881-0504
Fax Number:
952-884-0188
Patients can reach at 8910 Penn Ave S, Bloomington, Minnesota or can call to book an appointment on 952-881-0504. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.