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Contact Information

FERGUS FALLS DENTAL GROUP
1121 PEBBLE LAKE ROAD
BOX 503
FERGUS FALLS, MN56537
 Phone: 218-739-7254
 Fax: 218-739-7253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for FERGUS FALLS DENTAL GROUP

NPI # 1558342469
LBN Legal business name FERGUS FALLS DENTAL GROUP
Authorized official DENISE KVERN - (MANGER/SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 9845
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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