Organization
BLUE JAY FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLAS FELTEN DDS (OWNER DENTIST)
(507) 696-3303
Entity
Organization
Contact information
Practice address
1975 11TH AVE E, MAPLEWOOD, MN 55109-5148
(507) 696-3303
Mailing address
1975 11TH AVE E, MAPLEWOOD, MN 55109-5148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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