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Contact Information

DEER RIVER DENTAL CLINIC
111 MAIN STREET E
DEER RIVER, MN56636
 Phone: 218-246-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DEER RIVER DENTAL CLINIC · (Female)

NPI Number 1417464157
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2018
Last updated 01/03/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # D9499
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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