Lake Superior Dental Associates in Duluth - General Practice
Lake Superior Dental Associates - NPI 1871672584
Lake Superior Dental Associates is a General Practice in Duluth, Minnesota. Lake Superior Dental Associates practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lake Superior Dental Associates is 1871672584. The last update date is 2007-10-30.
Lake Superior Dental Associates's current location address is 1225 E 1st St, Duluth, Minnesota. You can contact this provider via phone number 2187286445 and fax number 2187247003. The mailing address for Lake Superior Dental Associates is 1225 E 1st St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Superior Dental Associates |
|---|---|
| Address | 1225 E 1st St, Duluth, Minnesota |
| Phone Number | 2187286445 |
| Fax Number | 2187247003 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Ryan G Robert |
| Credentials | DDS |
| Telephone Number | 2187286445 |
NPI Number Detail
| NPI Number | 1871672584 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 1225 E 1st St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558052402 |
| Phone Number | 2187286445 |
| Fax Number | 2187247003 |
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 |
|---|---|---|---|
| 820436 | MN | UNITED CONCORDIA | |
| 7B014FO | MN | BCBS MN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lake Superior Dental Associates by the Centers for Medicare & Medicaid Services?
The Lake Superior Dental Associates has been issued the NPI (National Provider Identifier) 1871672584 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Lake Superior Dental Associates located?
The Lake Superior Dental Associates is located at 1225 E 1St St, Duluth, MN 558052402.
What is the Lake Superior Dental Associates's specialty and taxonomy code?
The Lake Superior Dental Associates's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Lake Superior Dental Associates receive the assignment of its 1871672584 from the Centers for Medicare & Medicaid Services?
The Lake Superior Dental Associates was issued its 1871672584 by the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the information pertaining to Lake Superior Dental Associates most recently updated or revised?
The details related to Lake Superior Dental Associates, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-30.
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