DOWNTOWN DENTAL CARE PA NPI 1073674529

NPI Information

  • NPI: 1073674529
  • Provider Name: DOWNTOWN DENTAL CARE PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 304 ELM AVE
    MOOSE LAKE, MN
    ZIP 55767
  • Phone: (218) 485-4455

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NPI Details

DOWNTOWN DENTAL CARE PA is a general practice dentist in Moose Lake, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DOWNTOWN DENTAL CARE PA NPI is 1073674529. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

304 ELM AVE
MOOSE LAKE, MN
ZIP 55767
Phone: (218) 485-4455
Fax: (218) 485-0227

The provider's authorized official is Kurt David Stodola .
The authorized official title is Doctor Vice President and has the following contact phone number (218) 485-4455.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral PracticeYes

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: 3/30/2025

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