North Shore Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

D9070 Issued in MN

Legal business name

NORTH SHORE FAMILY DENTAL

Practice address

1932 London Rd
Duluth, MN 55812-2038

Phone

(218) 728-2144

Fax

(218) 529-1623

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Calvin Brent Haworth, D.D.S.

Title

Dentist

Phone

(218) 728-2144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1508074485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122038",
            "telephone_number": "218-728-2144",
            "fax_number": "218-529-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122038",
            "telephone_number": "218-728-2144",
            "fax_number": "218-529-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "HAWORTH",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "218-728-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Jan 4, 2008; 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.