Fergus Falls Dental Group in Fergus Falls - Dental Public Health
Fergus Falls Dental Group - NPI 1558342469
Fergus Falls Dental Group is a Dental Public Health in Fergus Falls, Minnesota. Fergus Falls Dental Group practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Fergus Falls Dental Group is 1558342469. The last update date is 2020-08-22.
Fergus Falls Dental Group's current location address is 1121 Pebble Lake Road, Fergus Falls, Minnesota. You can contact this provider via phone number 2187397254 and fax number 2187397253. The mailing address for Fergus Falls Dental Group is 1121 Pebble Lake Road, Fergus Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fergus Falls Dental Group |
|---|---|
| Address | 1121 Pebble Lake Road, Fergus Falls, Minnesota |
| Phone Number | 2187397254 |
| Fax Number | 2187397253 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANGER/SUP |
|---|---|
| Authorized Official Name | Kvern Renee Denise |
| Telephone Number | 2187397254 |
NPI Number Detail
| NPI Number | 1558342469 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1121 Pebble Lake Road |
|---|---|
| City | Fergus Falls |
| State | Minnesota (MN) |
| Post Code | 56537 |
| Phone Number | 2187397254 |
| Fax Number | 2187397253 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Public Health |
|---|---|
| Taxonomy | 1223D0001X |
| Licence No | 9845 |
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Definition: The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w |
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What is the Fergus Falls Dental Group's 1558342469?
The Fergus Falls Dental Group's NPI (National Provider Identifier) Number is 1558342469. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fergus Falls Dental Group is located?
The Fergus Falls Dental Group is situated at the following address: 1121 Pebble Lake Road, Fergus Falls, MN, 56537.
What is Fergus Falls Dental Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Fergus Falls Dental Group is Dental Public Health, and the corresponding taxonomy classification code for this specialized field is 1223D0001X.
On what date did the Fergus Falls Dental Group receive the assignment of its 1558342469 from the Centers for Medicare & Medicaid Services?
The Fergus Falls Dental Group was issued its 1558342469 by the Centers for Medicare & Medicaid Services on 2005-11-08.
When was the Fergus Falls Dental Group's information last updated?
The Fergus Falls Dental Group's information was last updated on 2020-08-22.