National Provider Identifier Database

NORTHERN LIGHTS FAMILY DENTISTRYPC
Dental


Contact Information

NORTHERN LIGHTS FAMILY DENTISTRY,PC
603 EMILY AVE. NW
WARROAD, MN56763
Phone: 218-386-2889
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for NORTHERN LIGHTS FAMILY DENTISTRY,PC

NPI Number 1841463072
Legal business name
LBN
NORTHERN LIGHTS FAMILY DENTISTRY,PC
Authorized official CYNTHIA DROST-SANDY - (DENTIST/PRESIDENT OF CORPORATION)
Entity Organization
Organization subpart No
Enumeration date 04/09/2008
Last updated 04/09/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: D11132

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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