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Contact Information

NORTHLAND SMILES CORPORATION PA
21343 ARCHIBALD ROAD
DEERWOOD, MN56444
 Phone: 218-534-3141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for NORTHLAND SMILES CORPORATION PA

NPI Number 1043567357
LBN Legal business name NORTHLAND SMILES CORPORATION PA
Authorized official KENDALL DAMMEIER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2012
Last updated 08/07/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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