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Contact Information

MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
206 PLEASANT AVE S
PARK RAPIDS, MN56470-1417
 Phone: 218-732-4436
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER INC · (Female)

NPI Number 1457101974
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2024
Last updated 03/26/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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