Red River Dental Clinic Ltd

LBN: Red River Dental Clinic Ltd
Red River Dental Clinic Ltd is an health care organization with primary practice located at 1416 Central Ave Ne , East Grand Forks MN 56721-1605. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Red River Dental Clinic Ltd can be contacted via phone (218) 773-3004, or through Johnson, Craig Alan via phone (218) 773-3004.

Contact Information

Primary practice address
1416 Central Ave Ne East Grand Forks MN 56721-1605
Fax: (218) 773-3006
Website:
Authorized official contact:
Name: Johnson, Craig Alan Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D13228 Minnesota

Profile Details

NPI number 1780085928
LBN Legal business name Red River Dental Clinic Ltd
DBA Doing business as
Authorized official Johnson, Craig Alan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2014
Last updated Sep 8th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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