Deer River Dental Clinic | |
111 Main Street E Deer River MN 56636 | |
(218) 246-8200 | |
Not Available |
Full Name | Deer River Dental Clinic |
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Speciality | Dentist - Endodontics |
Location | 111 Main Street E, Deer River, Minnesota |
Authorized Official Name and Position | Jeffrey Lee Ccarter (DENTIST/OWNER) |
Authorized Official Contact | 2182468200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deer River Dental Clinic Po Box 40 Deer River MN 56636-0040 Ph: (218) 246-8200 | Deer River Dental Clinic 111 Main Street E Deer River MN 56636 Ph: (218) 246-8200 |
NPI Number | 1417464157 |
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Provider Enumeration Date | 01/03/2018 |
Last Update Date | 01/03/2018 |
Identifier | Type | State | Issuer |
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1417464157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223E0200X | Dentist - Endodontics | D9499 (Minnesota) | Primary |