| Mississippi Headwaters Area Dental Health Center, Inc. | |
|
616 America Ave Nw Ste 340 Attention Mary Marchell Bemidji MN 56601-3871 | |
| (218) 333-8119 | |
| Not Available |
| Full Name | Mississippi Headwaters Area Dental Health Center, Inc. |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 616 America Ave Nw Ste 340, Bemidji, Minnesota |
| Authorized Official Name and Position | Mary Marchel (SECRETARY, TREASURER) |
| Authorized Official Contact | 2183338119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Headwaters Area Dental Health Center, Inc. 616 America Ave Nw Ste 340 Attention Mary Marchell Bemidji MN 56601-3871 Ph: (218) 333-8119 | Mississippi Headwaters Area Dental Health Center, Inc. 616 America Ave Nw Ste 340 Attention Mary Marchell Bemidji MN 56601-3871 Ph: (218) 333-8119 |
| NPI Number | 1437287679 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437287679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (Minnesota) | Primary |
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