Downtown Dental Care PA
Organization Active NPI General Practice Dentistry · Moose Lake, MN
NPI 1073674529 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073674529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- DOWNTOWN DENTAL CARE PA
- Practice address
- 304 Elm Ave
Moose Lake, MN 55767 - Phone
- (218) 485-4455
- Fax
- (218) 485-0227
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kurt David Stodola, DDS
- Title
- Doctor Vice President
- Phone
- (218) 485-4455
Practitioners 2
-
James Clinton Hubred, DDS
-
Kurt David Stodola, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
304 Elm Ave
Moose Lake, MN 55767
Mailing address
PO Box 587
304 Elm Ave
Moose Lake, MN 55767
Phone (218) 485-4455
Other providers in Moose Lake, MN
- Darci Kay Dahl
- Kimberly Mary Davidson
- Debbie Davis
- Paul R. Dewey
- Kathryn Dobbs
- Dr. Joseph J. Jamros Optometry, LTD.
- Steffany Drilling
- Tanya Eiffler
- Essentia Health Moose Lake
- Essentia Health Moose Lake
All providers in Moose Lake, 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 Aug 22, 2020. 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.