Active NPI
Reed D. Dill, D.D.S. P.a.
- Dental Clinic/Center
- Big Lake, MN
National Provider Identifier
1396971412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D10598
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reed Douglas Dill, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Big Lake, MN
- NPI 1336242510
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.