Smisek Family Dentistry P.a. is a Dental Clinic in Shoreview, Minnesota. It is located at 501 Tanglewood Dr, Shoreview, MN and its contact number is 651-483-6747. The authorized person for Smisek Family Dentistry P.a. is Gary Ralph Smisek
who is President Smisek Family Dentistry of the clinic and their contact number is 651-483-6747. The primary license number for Smisek Family Dentistry P.a. is 9783 (General Practice) in Minnesota. Smisek Family Dentistry P.a. 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:
Smisek Family Dentistry P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
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:
Gary Ralph Smisek
Position:
President Smisek Family Dentistry
Contact Number:
651-483-6747
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 Smisek Family Dentistry P.a. clinic are as mentioned below.
NPI Number:
1457570194
NPI Enumeration Date:
24 Apr, 2007
NPI Last Update On:
17 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smisek Family Dentistry P.a. are as mentioned below.
Specialization
License Number
State
Status
General Practice
9783
Minnesota
Primary
General Practice
7909
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
41-124-3604
Other
Federal Id. Number
66340-47
Other
Minnesota
State Mn Id Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Smisek Family Dentistry P.a. 501 Tanglewood Dr, Shoreview, Minnesota
Zip:
55126-2016
Phone Number:
651-483-6747
Fax Number:
651-483-1863
Patients can reach Smisek Family Dentistry P.a. at 501 Tanglewood Dr, Shoreview, Minnesota or can call to book an appointment on 651-483-6747. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.