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LAKEVIEW DENTAL CLINIC NPI 1750610721


NPI Information

NPI: 1750610721
Provider Name: LAKEVIEW DENTAL CLINIC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
603 BEMIDJI AVE N
BEMIDJI, MN
ZIP 56601
Phone: (218) 751-4523
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LAKEVIEW DENTAL CLINIC 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. LAKEVIEW DENTAL CLINIC NPI is 1750610721. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

603 BEMIDJI AVE N
BEMIDJI, MN
ZIP 56601-015
Phone: (218) 751-4523
Fax: (218) 751-0285

The provider's authorized official is Angie Faye Webb .
The authorized official title is Receptionist and has the following contact phone number (218) 751-4523.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 12/21/2009.


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 Practice10118MINNESOTANo
21223G0001XDentistGeneral Practice8362MINNESOTAYes

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
11962575043MEDICAIDMINNESOTA
21821161910MEDICAIDMINNESOTA

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: 5/5/2024

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