North Shore Dental,LTD.

Primary specialty

DentistTaxonomy code 122300000X

License

D11906 Issued in MN

Legal business name

NORTH SHORE DENTAL,LTD.

Practice address

4707 E Superior St
Duluth, MN 55804-2339

Phone

(218) 525-1921

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey John Bertani, D.D.S.

Title

President

Phone

(218) 525-1921

Specialties & licenses 1

Addresses

Tax ID family

North Shore Dental Limited2 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.

• North Shore Dental Limited

  • Dentist
  • Two Harbors, MN
  • NPI 1669912697
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor McCollough, DMD

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1598285454
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346389277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042339",
            "telephone_number": "218-525-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 E SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042339",
            "telephone_number": "218-525-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE DENTAL,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTANI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-525-1921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Land Optical Co
• North Land Optical Co
• North Shore Anesthesia P.a
• North Shore Community Counseling Services
• North Shore Community School #4084
• North Shore Family Dental
• North Shore Mental Health Services
• Northbrook Counseling and Consulting
• Northern Access Transportation, Inc
• Northern Arm & Hand Center, Inc. (Turning Point Therapy)

• Dentist in Duluth, MN
• Providers in Duluth, MN by specialty
• Dentist 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.