Robert Mork is a Dentist in Cass Lake, Minnesota. Robert Mork practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Mork is 1720189467. The last update date is 2007-07-08.
Robert Mork's current location address is 425 7th St Nw, Cass Lake, Minnesota. You can contact this provider via phone number 2183353200. The mailing address for Robert Mork is 425 7th St Nw, Cass Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Mork |
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Address | 425 7th St Nw, Cass Lake, Minnesota |
Phone Number | 2183353200 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1720189467 |
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Provider Enumeration Date | 2006-09-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 425 7th St Nw |
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City | Cass Lake |
State | Minnesota (MN) |
Post Code | 566333360 |
Phone Number | 2183353200 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 8390 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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57G79MO | MN | BCBS |
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What is the unique identifier code issued to Robert Mork by the Centers for Medicare & Medicaid Services?
The Robert Mork has been assigned the NPI (National Provider Identifier) 1720189467. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert Mork is physically located?
The Robert Mork is situated at the following address: 425 7Th St Nw, Cass Lake, MN 566333360.
What is the Robert Mork's area of specialization and corresponding taxonomy classification?
The Robert Mork's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1720189467 to Robert Mork?
The Centers for Medicare & Medicaid Services assigned the 1720189467 to Robert Mork on 2006-09-26.
As of what date were the details related to Robert Mork most recently updated or revised?
The information pertaining to Robert Mork, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.