Dental Depot, LLC
Organization Active NPI Dentist · Morris, MN
NPI 1285022145 · NPPES record last updated Dec 30, 2014
Key facts
- NPI
- 1285022145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- D13075 (MN)
- Legal business name
- DENTAL DEPOT, LLC
- Practice address
- 2 E 5TH St
Morris, MN 56267-1344 - Phone
- (320) 589-4481
- NPI assigned
- Dec 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin P Williamson, DDS
- Title
- Dentist
- Phone
- (320) 589-4481
Practitioners 3
-
Kevin Paul Williamson, D.D.S.
National Provider Directory
Locations
2 E 5th St
Morris, MN 56267
Phone (320) 589-4481
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D13075 | MN | Yes |
Addresses
Primary practice location
2 E 5TH St
Morris, MN 56267-1344
Mailing address
2 E 5TH St
Morris, MN 56267-1344
Phone (320) 589-4481
Other providers in Morris, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2014. 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.