National Provider Identifier Database

NORTHLAND SMILES CORPORATION PA
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

NORTHLAND SMILES CORPORATION PA
21343 ARCHIBALD ROAD
DEERWOOD, MN56444
Phone: 218-534-3141
Fax:
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for NORTHLAND SMILES CORPORATION PA

NPI Number 1043567357
Legal business name
LBN
NORTHLAND SMILES CORPORATION PA
Authorized official KENDALL DAMMEIER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/07/2012
Last updated 08/07/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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