| Mississippi Headwaters Area Dental Health Center, Inc. | |
|
132 3rd St W Halstad MN 56548-4015 | |
| (218) 456-2238 | |
| (218) 456-2248 |
| Full Name | Mississippi Headwaters Area Dental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 132 3rd St W, Halstad, Minnesota |
| Authorized Official Name and Position | Erica Anne Lundberg (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2184449147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Headwaters Area Dental Health Center, Inc. 1405 Anne St Nw Bemidji MN 56601-5113 Ph: (218) 444-9147 | Mississippi Headwaters Area Dental Health Center, Inc. 132 3rd St W Halstad MN 56548-4015 Ph: (218) 456-2238 |
| NPI Number | 1669949442 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 10/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669949442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dr. Joy's Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 3rd Street West, Halstad, MN 56548 Phone: 218-456-2182 Fax: 218-456-2382 |