Cedar Ridge Dental Centre
Organization Active NPI General Practice Dentistry · Coleraine, MN
NPI 1518144591 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1518144591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11954 (MN)
- Legal business name
- CEDAR RIDGE DENTAL CENTRE
- Practice address
- 303 Powell Ave
Coleraine, MN 55722-0810 - Phone
- (218) 245-2451
- NPI assigned
- Jan 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Matthew S Schroeder, DDS
- Title
- Dentist / Owner
- Phone
- (218) 245-2451
Practitioners 1
-
Cavour Damon Johnson, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 11954 | MN | Yes |
Addresses
Primary practice location
303 Powell Ave
Coleraine, MN 55722-0810
Mailing address
PO Box J
Coleraine, MN 55722-0810
Phone (218) 245-2451
Other providers in Coleraine, MN
- Anderson Family Dental PA
- Jordan D Anderson
- Michael Velemir Baich
- Dr VM Baich PA
- Zachary Nathaniel Gordon
- Greenway Public Schools #316
- Cavour Damon Johnson
- Raquel L Lund
All providers in Coleraine, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.