NORTHERN LIGHTS FAMILY DENTISTRY,PC; NPI #1841463072

Contact Information

NORTHERN LIGHTS FAMILY DENTISTRY,PC

603 EMILY AVE. NW
WARROAD, MN 56763

Phone: 218-386-2889
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for NORTHERN LIGHTS FAMILY DENTISTRY,PC

NPI # 1841463072

LBN Legal business name NORTHERN LIGHTS FAMILY DENTISTRY,PC

Authorized official CYNTHIA DROST-SANDY - (DENTIST/PRESIDENT OF CORPORATION)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/09/2008

Last updated 04/09/2008 - About 18 years ago

Identifiers

License #

D11132

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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NORTHERN LIGHTS FAMILY DENTISTRY,PC

Contact Information

Specialty

Dental

NPI Profile & details for NORTHERN LIGHTS FAMILY DENTISTRY,PC

Reviews for NORTHERN LIGHTS FAMILY DENTISTRY,PC