Active NPI
North Country Dental
- General Practice Dentistry
- Cloquet, MN
National Provider Identifier
1548873276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NORTH COUNTRY DENTAL
- Practice address
- 716 14TH St
Cloquet, MN 55720-2406 - Phone
- (218) 879-5271
- Fax
- (218) 878-7990
- NPI assigned
- Aug 24, 2020
- 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
- Carrie Putnam
- Title
- Receptionist
- Phone
- (218) 879-5271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
716 14TH St
Cloquet, MN 55720-2406
Mailing address
716 14TH St
Cloquet, MN 55720-2406
Phone (218) 879-5271
National Provider Directory
National Provider DirectoryLocations
716 14th St
Cloquet, MN 55720
Phone (218) 879-5271
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cloquet, MN
- NPI 1720167943
-
- General Practice Dentistry
- Cloquet, MN
- NPI 1497834626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598227200000",
"number": "1548873276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 14TH ST",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202406",
"telephone_number": "218-879-5271",
"fax_number": "218-878-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 14TH ST",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202406",
"telephone_number": "218-879-5271",
"fax_number": "218-878-7990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COUNTRY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A",
"authorized_official_last_name": "PUTNAM",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "RECEPTIONIST",
"authorized_official_telephone_number": "218-879-5271"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.