Clearbrook Dental Clinic, Ltd in Clearbrook - Dental
Clearbrook Dental Clinic, Ltd - NPI 1164511267
Clearbrook Dental Clinic, Ltd is a Dental in Clearbrook, Minnesota. Clearbrook Dental Clinic, Ltd practices all healthcare services and medical treatments related to Dental. The NPI Number for Clearbrook Dental Clinic, Ltd is 1164511267. The last update date is 2020-08-22.
Clearbrook Dental Clinic, Ltd's current location address is 113 Main St S, Clearbrook, Minnesota. You can contact this provider via phone number 2187763558 and fax number 2187762112. The mailing address for Clearbrook Dental Clinic, Ltd is 113 Main St S, Clearbrook, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clearbrook Dental Clinic, Ltd |
|---|---|
| Address | 113 Main St S, Clearbrook, Minnesota |
| Phone Number | 2187763558 |
| Fax Number | 2187762112 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Beard Carl Randy |
| Credentials | D.D.S. |
| Telephone Number | 2187763558 |
NPI Number Detail
| NPI Number | 1164511267 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 113 Main St S |
|---|---|
| City | Clearbrook |
| State | Minnesota (MN) |
| Post Code | 566340314 |
| Phone Number | 2187763558 |
| Fax Number | 2187762112 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 10180 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identifier code issued to Clearbrook Dental Clinic, Ltd by the Centers for Medicare & Medicaid Services?
The Clearbrook Dental Clinic, Ltd has been assigned the NPI (National Provider Identifier) 1164511267 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Clearbrook Dental Clinic, Ltd's facilities are geographically located?
The facilities of Clearbrook Dental Clinic, Ltd are physically situated at the following location: 113 Main St S, Clearbrook, MN, 566340314.
What is the area of specialization for Clearbrook Dental Clinic, Ltd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clearbrook Dental Clinic, Ltd is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164511267 to Clearbrook Dental Clinic, Ltd?
The Clearbrook Dental Clinic, Ltd received its 1164511267 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the information regarding Clearbrook Dental Clinic, Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clearbrook Dental Clinic, Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.