Organization · Type 2 NPI
Great River Dentistry of Bemidji, PLLC
Dental Clinic/Center · Bemidji, MN
NPI number
1982156147
Active
Practice location
3622 Moberg Dr NW
Bemidji, MN 56601-5644
Fax (218) 444-6057
Mailing address
PO Box 1005
Bemidji, MN 56619-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Bemidji
About NPI 1982156147
Great River Dentistry of Bemidji, PLLC's National Provider Identifier is 1982156147, issued on Nov 3, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bemidji, MN. The record was last updated on Nov 3, 2016.