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Contact Information

DEER RIVER DENTAL CLINIC
111 MAIN STREET E
DEER RIVER, MN56636
 Phone: 218-246-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for DEER RIVER DENTAL CLINIC

NPI Number 1417464157
LBN Legal business name DEER RIVER DENTAL CLINIC
Authorized official JEFFREY CCARTER - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2018
Last updated 01/03/2018 - About 8 years ago
Identifiers
MN License # D9499
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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