East Grand Forks Dental Care in East Grand Forks - General Practice

East Grand Forks Dental Care - NPI 1891912812

East Grand Forks Dental Care is a General Practice in East Grand Forks, Minnesota. East Grand Forks Dental Care practices all healthcare services and medical treatments related to General Practice. The NPI Number for East Grand Forks Dental Care is 1891912812. The last update date is 2020-08-22.

East Grand Forks Dental Care's current location address is 22 4th St. Ne, East Grand Forks, Minnesota. You can contact this provider via phone number 2187730842. The mailing address for East Grand Forks Dental Care is 22 4th St. Ne, East Grand Forks, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Grand Forks Dental Care
Address 22 4th St. Ne, East Grand Forks, Minnesota
Phone Number 2187730842
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Thorfinnson M David
Credentials D.D.S.
Telephone Number 2187730842

NPI Number Detail

NPI Number 1891912812
Provider Enumeration Date 2007-04-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 22 4th St. Ne
City East Grand Forks
State Minnesota (MN)
Post Code 56721
Phone Number 2187730842
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10253
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
989049 ND DENTAL SERVICE CORP

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FAQs about East Grand Forks Dental Care

What is the unique identification code assigned to East Grand Forks Dental Care by the Centers for Medicare & Medicaid Services?

The East Grand Forks Dental Care has been issued the NPI (National Provider Identifier) 1891912812. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of East Grand Forks Dental Care?

The East Grand Forks Dental Care is physically situated at 22 4Th St. Ne, in the city of East Grand Forks, state of MN, with the postal code 56721.

What is the East Grand Forks Dental Care's specialty and taxonomy code?

The East Grand Forks Dental Care's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891912812 to East Grand Forks Dental Care?

The Centers for Medicare & Medicaid Services originally issued the 1891912812 to East Grand Forks Dental Care on 2007-04-19.

When was the information regarding East Grand Forks Dental Care most recently updated?

The details pertaining to the East Grand Forks Dental Care, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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