Northland Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7167 Issued in MN

Legal business name

NORTHLAND FAMILY DENTISTRY

Practice address

2011 3Rd Ave E
Hibbing, MN 55746-1731

Phone

(218) 262-5536

Fax

(218) 263-8554

NPI assigned

Dec 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maryclare Jensen

Title

Office Manager

Phone

(218) 262-5536

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee David Hudelson, D.D.S.

  • General Practice Dentistry
  • Hibbing, MN
  • NPI 1902968522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235291816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 3RD AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461731",
            "telephone_number": "218-262-5536",
            "fax_number": "218-263-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 3RD AVE E",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461731",
            "telephone_number": "218-262-5536",
            "fax_number": "218-263-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MARYCLARE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-262-5536"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cydney Nicole Neuenschwander, RN
• Jacob Dean Noble, D.D.S.
• Erin Nicole Norenberg
• North Star Dental Care, P.C.
• Northern Oral & Maxillofacial Surgeons, PA
• Mmiliaku Nwoye
• Brittany Jo Oberhelman, APRN/CNP
• Daniel Ogg, M.D.
• Brianna Dee Olson, CPHT
• Lisa Anne Olson

• General Practice Dentistry in Hibbing, MN
• Providers in Hibbing, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.