Pine City Family Dental

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PINE CITY FAMILY DENTAL

Practice address

1105 Hillside Ave SW
Pine City, MN 55063-2153

Phone

(320) 629-2789

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Adam Curtis, DDS

Title

Owner

Phone

(651) 470-9590

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.

• Kristie Ann Roberts, DDS

  • General Practice Dentistry
  • Pine City, MN
  • NPI 1053372656
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1316519028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OPPORTUNITY BLVD N",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550085823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 HILLSIDE AVE SW",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550632153",
            "telephone_number": "320-629-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE CITY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-470-9590",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Partch, MA, LPCC
• Marilyn Jean Pedersen, LADC
• Hiedi Philstrom
• Pine City Area Clinic
• Pine City Chiropractic PLLC
• Pine Eye Associates, PA
• Michaela Janssen Pohl, MA, LPCC
• Jeffrey Pounds, LP
• Power Chairs and Scooter Store Medical Supply LLC
• Premier Chiropractic LLC

• Clinic/Center in Pine City, MN
• Providers in Pine City, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.