ELBOW LAKE DENTISTRY PLLC NPI 1740897156

NPI Information

ELBOW LAKE DENTISTRY, PLLC is a general practice dentist in Elbow 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. ELBOW LAKE DENTISTRY, PLLC NPI is 1740897156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18 W DIVISION ST
ELBOW LAKE, MN
ZIP 56531-136
Phone: (218) 685-4710

The provider's authorized official is Brady Elmer Weispfennig .
The authorized official title is Sole Member and has the following contact phone number (320) 491-0300.

The enumeration date for this NPI number is 9/29/2020 and was last updated on 9/29/2020.

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:

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