Richard George Lorenz, DDS
Individual provider Active NPI Dentist · Litchfield, MN
NPI 1013022110 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013022110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D7825 (MN)
- Practice address
- 329 E Hwy 12
Litchfield, MN 55355 - Phone
- (320) 693-8939
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160127000968 | MN | Order and Referring Only - Oral Surgery |
3779886650 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7825 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winsted Dental PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7825 | MN | Yes |
Addresses
Primary practice location
329 E Hwy 12
Litchfield, MN 55355
Mailing address
329 E Hwy 12
Litchfield, MN 55355
Phone (320) 693-8939
Other providers in Litchfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.