MOELLER MURRAY PA NPI 1063834620

NPI Information

NPI: 1063834620
Provider Name: MOELLER MURRAY PA

Doing Business As: NORTHWOODS DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
405 HENRIETTA AVE S
PARK RAPIDS, MN
ZIP 56470
Phone: (218) 732-1414
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MOELLER MURRAY PA is a dental clinic center in Park Rapids, MN. MOELLER MURRAY PA NPI is 1063834620. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwoods Dental Clinic.

The provider's business location address is:

405 HENRIETTA AVE S
PARK RAPIDS, MN
ZIP 56470-278
Phone: (218) 732-1414
Fax: (218) 732-7519

The provider's authorized official is Bonnie Moeller .
The authorized official title is Treasurer / Owner and has the following contact phone number (425) 256-1728.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D13314	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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