MILLER TRUNK FAMILY DENTISTRY NPI 1528125002

NPI Information

  • NPI: 1528125002
  • Provider Name: MILLER TRUNK FAMILY DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 5086 MILLER TRUNK HWY
    HERMANTOWN, MN
    ZIP 55811
  • Phone: (218) 729-9810

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NPI Details

MILLER TRUNK FAMILY DENTISTRY is a general practice dentist in Hermantown, 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. MILLER TRUNK FAMILY DENTISTRY NPI is 1528125002. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5086 MILLER TRUNK HWY
HERMANTOWN, MN
ZIP 55811
Phone: (218) 729-9810
Fax: (218) 729-9812

The provider's authorized official is Duane Franklin Mcdonald .
The authorized official title is President and has the following contact phone number (218) 729-9810.

The enumeration date for this NPI number is 1/3/2007 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 PracticeD11960MINNESOTANo
21223G0001XDentistGeneral PracticeD8002MINNESOTAYes

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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