Lesmeister Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12845 Issued in MN

Legal business name

LESMEISTER DENTAL LLC

Doing business as

Lesmeister Dental

Practice address

105 International Drive, Suite 110
Red Lake Falls, MN 56750-0236

Phone

(218) 256-4204

Fax

(218) 253-4205

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Joanna D Nesvold

Title

Office Manager

Phone

(218) 253-4204

Specialties & licenses 1

Addresses

Other names 1

• Lesmeister Dental Doing business as

Tax ID family

Lesmeister Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lesmeister Dental LLC

  dba Win-E-Mac Dental

  • General Practice Dentistry
  • Crookston, MN
  • NPI 1336594449
  NPD tax ID

Locations

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1295180313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INTERNATIONAL DRIVE, SUITE 110",
            "address_2": "PO BOX 236",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567500236",
            "telephone_number": "218-256-4204",
            "fax_number": "218-253-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 INTERNATIONAL DRIVE, SUITE 110",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567500236",
            "telephone_number": "218-256-4204",
            "fax_number": "218-253-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESMEISTER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "NESVOLD",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-253-4204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lesmeister Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tia Michelle Gullickson, FNP-C
• Hillcrest Senior Living
• Ind School District 630
• Inspire Independence Therapy LLC
• Jo Lambert
• Red Lake County Social Services
• Red Lake Falls Volunteer Ambulance Association
• Riverview Healthcare Association
• Riverview Healthcare Association (Hillcrest Nursing Home)
• Richard Walter Seeger, RPH

• General Practice Dentistry in Red Lake Falls, MN
• Providers in Red Lake Falls, 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 Apr 26, 2016; 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.