Headwaters Dental in Bemidji - General Practice
Headwaters Dental - NPI 1558374561
Headwaters Dental is a General Practice in Bemidji, Minnesota. Headwaters Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Headwaters Dental is 1558374561. The last update date is 2016-03-28.
Headwaters Dental's current location address is 2229 23rd St Nw, Bemidji, Minnesota. You can contact this provider via phone number 2183336515 and fax number 2183336519. The mailing address for Headwaters Dental is 2229 23rd St Nw, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Headwaters Dental |
|---|---|
| Address | 2229 23rd St Nw, Bemidji, Minnesota |
| Phone Number | 2183336515 |
| Fax Number | 2183336519 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DDS/OWNER |
|---|---|
| Authorized Official Name | Winslow Feil Patricia |
| Telephone Number | 2183336515 |
NPI Number Detail
| NPI Number | 1558374561 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2016-03-28 |
Provider Mailing Address Detail
| Address | 2229 23rd St Nw |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566015503 |
| Phone Number | 2183336515 |
| Fax Number | 2183336519 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 96501800 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Headwaters Dental by the Centers for Medicare & Medicaid Services (CMS)?
The Headwaters Dental has been assigned the NPI (National Provider Identifier) 1558374561. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Headwaters Dental is physically located?
The Headwaters Dental is physically situated at the following address: 2229 23Rd St Nw, Bemidji, MN, 566015503.
What is the Headwaters Dental's area of specialization and corresponding taxonomy classification?
The Headwaters Dental's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1558374561 to Headwaters Dental?
The Centers for Medicare & Medicaid Services assigned the 1558374561 to Headwaters Dental on 2006-08-14.
As of what date were the Headwaters Dental's details last updated?
The information pertaining to the Headwaters Dental, including its address, specialty, and other details, was most recently updated on 2016-03-28.