Two Harbors Family Dental, PA
Organization Active NPI General Practice Dentistry · Two Harbors, MN
NPI 1104379635 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1104379635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D12388 (MN)
- Legal business name
- TWO HARBORS FAMILY DENTAL, PA
- Practice address
- 510 1St Ave
Two Harbors, MN 55616-1504 - Phone
- (218) 834-2011
- Fax
- (218) 834-6028
- NPI assigned
- Aug 2, 2016
- Organization subpart
- No
Authorized official
- Name
- Robert Benjamin Yankovich, DDS
- Title
- President
- Phone
- (218) 409-2400
Practitioners 2
-
Robert Benjamin Yankovich, D.D.S.
-
Daniel Walter Iverson, D.D.S.
National Provider Directory
Locations
510 1st Ave
Two Harbors, MN 55616
Phone (218) 340-7467
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D12388 | MN | Yes |
Addresses
Primary practice location
510 1St Ave
Two Harbors, MN 55616-1504
Mailing address
510 1St Ave
PO Box 59
Two Harbors, MN 55616-1504
Phone (218) 834-2011
Other names
- Two Harbors Family Dental
Other providers in Two Harbors, MN
- The Waterview Shores LLC
- Cory Scott Thomas
- Evan Hans Toonstra
- Barbara Mary Triggs
- Paul Martin Trygstad
- Vision Pro Optical
- Laura Von Goertz
- Debbie Waterhouse
- Watersedge Health Center
- Waterview Shores Assisted Living LLC
All providers in Two Harbors, 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 2, 2016. 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.