Organization Active NPI

Affordable Dentures - Duluth, P.C.

  • Dentist
  • Duluth, MN
National Provider Identifier
1639529977
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11970 Issued in MN
Legal business name
AFFORDABLE DENTURES - DULUTH, P.C.
Practice address
4310 Menard Dr Ste 300
Duluth, MN 55811-1564
Phone
(218) 279-9985
NPI assigned
Jun 17, 2016
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Francois Gerber, BCHD
Title
Practice Owner
Phone
(218) 279-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D11970 MN Primary

Addresses

Primary practice location

4310 Menard Dr Ste 300
Duluth, MN 55811-1564

Mailing address

4310 Menard Dr Ste 300
Duluth, MN 55811-1564
Phone (218) 279-9985

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1639529977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 MENARD DR STE 300",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111564",
            "telephone_number": "218-279-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MENARD DR STE 300",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111564",
            "telephone_number": "218-279-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - DULUTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "FRANCOIS",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "218-279-9985",
        "authorized_official_credential": "BCHD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.