Organization · Type 2 NPI
Great Lakes Pediatric Dentistry PLLC
Pediatric Dentistry · Fergus Falls, MN
NPI number
1144726506
Active
Practice location
219 E Lincoln Ave
Fergus Falls, MN 56537-2236
Mailing address
15525 Barley Rd NW
Royalton, MN 56373-8148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D13237 (MN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
Other pediatric dentistry providers in Fergus Falls
About NPI 1144726506
Great Lakes Pediatric Dentistry PLLC's National Provider Identifier is 1144726506, issued on Apr 4, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fergus Falls, MN. The record was last updated on Apr 4, 2018.