Anita Whalen, DDS
Individual provider Active NPI General Practice Dentistry · Warren, MN
NPI 1003092206 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1003092206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D8197 (MN)
- Practice address
- 508 North Minnesota Street
Warren, MN 56762-0093 - Phone
- (218) 281-3441
- Fax
- (218) 281-6966
- NPI assigned
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8197 | MN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8197 | MN | Yes |
Addresses
Primary practice location
508 North Minnesota Street
Warren, MN 56762-0093
Mailing address
620 Summit Avenue
Crookston, MN 56716-2799
Phone (218) 281-3441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531018100 | Medicaid | MN |
Other names
- Mary Jean Whalen
Other providers in Warren, MN
- Warren Economic Development Authority
- Warren Eye Care, P.C.
- Warren Pharmacy Inc
- Warren Pharmacy Inc
- Warren-Alvarado-Oslo Public School District No 2176
- Michelle Marie Woinarowicz
All providers in Warren, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.