4th Avenue Dental, PA, Dba Oak Park Dental
4th Avenue Dental, PA, Dba Oak Park Dental is a General Practice Dentistry in Pine City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.
- Licensed in
- MN
- In the registry since
- 2014
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
505 Johnson Ave SEPine City, MN 55063-2108
Phone: (320) 629-2282
Fax: (320) 629-3357
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D11935 (MN) |
|---|
Record details
| NPI number | 1609298355 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alicia Ascheman — Supervisor/Owner · (320) 629-2282 |
| NPI enumerated | January 15, 2014 |
| Last updated in NPPES | January 15, 2014 |
| Mailing address | 505 Johnson Ave Se, Pine City, MN 55063-2108 |
Other providers in Pine City
-
Dr. Dylan J Ascheman, DDS
705 4th Ave SW, Pine City, MN 55063-1604 · (320) 629-6703
-
Carrie Carlson, DDS
505 Johnson Ave SE, Pine City, MN 55063-2108 · (320) 629-2282
-
Jon E Cruz, DDS
505 Johnson Ave SE, Pine City, MN 55063-2108 · (320) 629-2282
-
Dr. Elizabeth Ann Foss, DMD
1105 Hillside Ave SW, Pine City, MN 55063-2153 · (320) 336-8927