Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
profile image
Primary Practice Address
200 E MAIN ST
ADA, MN 56510-1354 US
PECOS Enrolled

Alex Provo

Dentist


Alex Provo

Overview

Alex Provo is a Dentist in the ADA area. Alex Provo primary office location is at 200 E MAIN ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1750762555 and the information was updated approximately 10 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
200 E MAIN ST
ADA, MN 56510-1354 US
Phone: (218)-784-7119
Fax:
Practice Mailing Information
18185 PARK DR
DETROIT LAKES, MN 56510-1354 US
Phone:
Fax:
License NumberState
D13521MN

Physical Therapy Clinics/Centers in Nearby Cities