MORK DENTAL SC NPI 1104089291

NPI Information

  • NPI: 1104089291
  • Provider Name: MORK DENTAL SC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 50 W 2ND ST
    WINONA, MN
    ZIP 55987
  • Phone: (507) 452-5214

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NPI Details

MORK DENTAL SC is a general practice dentist in Winona, 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. MORK DENTAL SC NPI is 1104089291. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

50 W 2ND ST
WINONA, MN
ZIP 55987-440
Phone: (507) 452-5214

The provider's authorized official is Desiree M Mork .
The authorized official title is Dentist/owner and has the following contact phone number (507) 452-5214.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 8/12/2008.

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 Practice08682MINNESOTANo
21223G0001XDentistGeneral PracticeD12583MINNESOTANo
31223G0001XDentistGeneral PracticeD12582MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1215518400MEDICAIDMINNESOTA
233814900MEDICAIDWISCONSIN

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: 11/21/2025

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