HEADWATERS DENTAL NPI 1558374561

NPI Information

HEADWATERS DENTAL is a general practice dentist in Bemidji, 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. HEADWATERS DENTAL NPI is 1558374561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2229 23RD ST NW
BEMIDJI, MN
ZIP 56601-503
Phone: (218) 333-6515
Fax: (218) 333-6519

The provider's authorized official is Patricia Winslow Feil .
The authorized official title is Dds/owner and has the following contact phone number (218) 333-6515.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 3/28/2016.

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:

Other Identifiers

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