Morris Dental Clinic
Organization Active NPI General Practice Dentistry · Morris, MN
NPI 1003124074 · NPPES record last updated Sep 23, 2010
Key facts
- NPI
- 1003124074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D12688 (MN)
- Legal business name
- MORRIS DENTAL CLINIC
- Practice address
- 201 E 6TH St
Morris, MN 56267-1212 - Phone
- (320) 589-2161
- Fax
- (320) 589-3149
- NPI assigned
- Sep 23, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Eric Jere Rambow, D.D.S.
- Title
- Dentist/Owner
- Phone
- (320) 589-2161
Corporate family (same tax ID) 1
Practitioners 5
-
Richard Hugh Moen, DDS
-
Eric J Rambow, D.D.S
-
Meghan E Rambow, DDS
-
Richard Bruce Stark, DDS
National Provider Directory
- Tax ID family
- Laketown Dental
Locations
201 E 6th St
Morris, MN 56267
Phone (320) 589-2161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D12688 | MN | Yes |
Addresses
Primary practice location
201 E 6TH St
Morris, MN 56267-1212
Mailing address
201 E 6TH St
Morris, MN 56267-1212
Phone (320) 589-2161
Other providers in Morris, MN
- David William Mitteness
- Richard Hugh Moen
- Allen Monroe
- Morris Area Public Schools Isd 769
- Morris Chiropractic Clinic, Chartered
- Morris Health Services
- Morris Health Services
- Morris Health Services
- Morris Health Services
- Daniel James O'Connor
All providers in Morris, 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 Sep 23, 2010. 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.