Organization
AMETHYST DENTAL CARE LLC
Active
Other names
Amethyst Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. BOEKER DDS (MANAGING PARTNER)
(507) 288-9288
Entity
Organization
Contact information
Practice address
1751 HIGHWAY 52 N, ROCHESTER, MN 55901-1692
(507) 282-9288
(507) 292-6622
Mailing address
1751 HIGHWAY 52 N, ROCHESTER, MN 55901-1692
(507) 282-9288
(507) 292-6622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720073554
NPI
MN
01
—
1841286457
NPI
MN
Enumeration date
07/28/2020
Last updated
07/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us