Organization · Type 2 NPI

Lake Superior College Dental Clinic

Dental Clinic/Center · Duluth, MN

NPI number 1740400985 Active

Practice location

2101 Trinity Road
Duluth, MN 55811-3349

Fax (218) 723-4921

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

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NPI record

NPI: 1740400985
Entity type: Organization (Type 2)
Issued: Apr 30, 2007
Last updated: Aug 22, 2020
Status: Active

Other names

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Lake Superior Dental Hygiene Lake Superior Community Dental Clinic · other name

Authorized official

Ms. Cindy A Upton
Dental Hygiene Clinic Coordinator
(218) 733-5939

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About NPI 1740400985

Lake Superior College Dental Clinic's National Provider Identifier is 1740400985, issued on Apr 30, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Duluth, MN. The record was last updated on Aug 22, 2020.