Daniel J Korf, DDS

Individual provider Active NPI General Practice Dentistry · Frazee, MN

NPI 1447328232 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1447328232
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
8831 (MN)
Practice address
101 E Ash Ave
Frazee, MN 56544
Phone
(218) 334-6000
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8831MNMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8831 MN Yes

Addresses

Primary practice location

101 E Ash Ave
Frazee, MN 56544

Mailing address

PO Box 445
Frazee, MN 56544-0445
Phone (218) 334-6000

Other providers in Frazee, MN

All providers in Frazee, MN · General Practice Dentistry in Minnesota

Sources for this page

Verify at the official NPI Registry.