National Provider Identifier Database

NORTHLAND SMILES LITTLE FALLS PA
Dental


Contact Information

NORTHLAND SMILES LITTLE FALLS, PA
306 13TH ST NE
LITTLE FALLS, MN56444
Phone: 218-534-3141
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for NORTHLAND SMILES LITTLE FALLS, PA

NPI Number 1063972271
Legal business name
LBN
NORTHLAND SMILES LITTLE FALLS, PA
Authorized official KENDALL DAMMEIER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/22/2019
Last updated 03/22/2019 - About 7 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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