Grove Dentist Pa is a Dental Clinic in Maple Grove, Minnesota. It is located at 13649 Grove Dr, Maple Grove, MN and its contact number is 763-420-8038. The authorized person for Grove Dentist Pa is Dr. Reny Chacko
who is Dentist of the clinic and their contact number is 651-308-2804. The primary license number for Grove Dentist Pa is D11844 (General Practice) in Minnesota. Grove Dentist Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Grove Dentist Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Grove Dentist Pa
Specialization:
General Practice Dentistry
Clinic Address:
13649 Grove Dr, Maple Grove, Minnesota, 55311-4405
Phone:
763-420-8038
Fax:
763-494-4222
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. Reny Chacko
Position:
Dentist
Contact Number:
651-308-2804
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 Grove Dentist Pa clinic are as mentioned below.
NPI Number:
1326481284
NPI Enumeration Date:
10 Apr, 2013
NPI Last Update On:
10 Apr, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grove Dentist Pa are as mentioned below.
Specialization
License Number
State
Status
General Practice
D11844
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:
Grove Dentist Pa 13649 Grove Dr, Maple Grove, Minnesota
Zip:
55311-4405
Phone Number:
763-420-8038
Fax Number:
763-494-4222
Patients can reach Grove Dentist Pa at 13649 Grove Dr, Maple Grove, Minnesota or can call to book an appointment on 763-420-8038. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.