Organization
DRS MIELKE BAYLON & BEINLICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG STEVEN BEINLICH DDS MS (PARTNER)
(651) 439-5640
Entity
Organization
Contact information
Practice address
1809 NORTHWESTERN AVE, #100, STILLWATER, MN 55082-7521
(651) 439-5640
(651) 439-9739
Mailing address
1809 NORTHWESTERN AVE, #100, STILLWATER, MN 55082-7521
(651) 439-5640
(651) 439-9739
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10545
MN
1223P0221X
Pediatric Dentistry
Primary
7329
MN
1223P0221X
Pediatric Dentistry
8325
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33554300
DR PETER H MIELKE INDIVID
—
01
—
33678600
DR RICHARD J BAYLON INDIV
—
01
—
33732300
DR GREG S BEINLICH INDIVI
—
01
—
HP53816
HEALTHPARTNERS GRP
—
Enumeration date
10/27/2006
Last updated
08/22/2020
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