Organization Active NPI

Reed D. Dill, D.D.S. P.a.

  • Dental Clinic/Center
  • Big Lake, MN
National Provider Identifier
1396971412
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D10598 Issued in MN
Legal business name
REED D. DILL, D.D.S. P.A.
Practice address
171 Lake St N
Big Lake, MN 55309-9254
Phone
(763) 263-3262
Fax
(763) 263-7998
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Reed Douglas Dill, DDSNPI 1336242510
Title
President/Owner
Phone
(763) 263-3262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D10598 MN Primary

Addresses

Primary practice location

171 Lake St N
Big Lake, MN 55309-9254

Mailing address

PO Box 159
171 Lake St North
Big Lake, MN 55309-0159
Phone (763) 263-3262

National Provider Directory

National Provider Directory

Locations

171 Lake St N
Big Lake, MN 55309
Phone (763) 263-3262

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1396971412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "address_2": "171 LAKE ST NORTH",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553090159",
            "telephone_number": "763-263-3262",
            "fax_number": "763-263-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAKE ST N",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099254",
            "telephone_number": "763-263-3262",
            "fax_number": "763-263-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED D. DILL, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "763-263-3262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D10598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.