Individual
DR. MICHAEL JENNINGS ROUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5320 HYLAND GREENS DR, #200, BLOOMINGTON, MN 55437-3934
(952) 831-6126
(952) 831-3225
Mailing address
3261 FOX TAIL TRL NW, PRIOR LAKE, MN 55372-1887
(952) 440-6556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11573
MN
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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