Clearbrook Dental Clinic, LTD
Organization Active NPI Dental Clinic/Center · Clearbrook, MN
NPI 1164511267 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164511267
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 10180 (MN)
- Legal business name
- CLEARBROOK DENTAL CLINIC, LTD
- Practice address
- 113 Main St S
Clearbrook, MN 56634-0314 - Phone
- (218) 776-3558
- Fax
- (218) 776-2112
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Randy Carl Beard, D.D.S.
- Title
- Owner
- Phone
- (218) 776-3558
Practitioners 1
-
Randy Carl Beard, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 10180 | MN | Yes |
Addresses
Primary practice location
113 Main St S
Clearbrook, MN 56634-0314
Mailing address
113 Main St S
Clearbrook, MN 56634-0314
Phone (218) 776-3558
Other providers in Clearbrook, MN
- B&D Mobility, Inc.
- Randy Carl Beard
- Amy M Beckstrand
- Nancy Campbell
- Clear Waters Life Center
- Clearbrook-Gonvick Isd #2311
- Clearwater County Memorial Hospital
- Roxanne Engebretson
- Sheila Erickson
- Wendy Kay Glass
All providers in Clearbrook, MN · Dental Clinic/Center 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.