Organization
HIGHGROVE DENTAL CARE APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY MICHAEL O'NEILL DMD (OWNER DENTIST)
(651) 698-3828
Entity
Organization
Contact information
Practice address
670 S CLEVELAND AVE, SAINT PAUL, MN 55116
(651) 698-3828
(651) 698-0864
Mailing address
670 S CLEVELAND AVE, SAINT PAUL, MN 55116
(651) 698-3828
(651) 698-0864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11119
MN
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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