Macmenamin, Luke Joseph

Macmenamin, Luke Joseph is an individual health care provider with primary practice located at 8401 Seasons Pkwy , Woodbury MN 55125-3414. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Macmenamin, Luke Joseph can be contacted via phone (651) 738-2341.

Contact Information

Primary practice address
8401 Seasons Pkwy Woodbury MN 55125-3414
Phone: (651) 738-2341
Fax: (651) 738-9048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D11556 Minnesota

Profile Details

NPI number 1679645733
LBN Legal business name Macmenamin, Luke Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679645733 NPPES
Wisconsin MEDICAID 33797100

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