Mississippi Headwaters Area Dental Health Center, Inc.
Organization Active NPI Dental Clinic/Center · Halstad, MN
NPI 1669949442 · NPPES record last updated Oct 30, 2018
Key facts
- NPI
- 1669949442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
- Practice address
- 132 3Rd St W
Halstad, MN 56548-4015 - Phone
- (218) 456-2238
- Fax
- (218) 456-2248
- NPI assigned
- Oct 30, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER
Authorized official
- Name
- Erica Anne Lundberg, MBA
- Title
- Director of Operations
- Phone
- (218) 444-9147
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 3
Practitioners 1
-
Emily M Nider, DDS
National Provider Directory
- Tax ID family
- Mississippi Headwaters Area Dental Health Center Inc
- Part of
- Mississippi Headwaters Area Dental Health Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
132 3Rd St W
Halstad, MN 56548-4015
Mailing address
1405 Anne St NW
Bemidji, MN 56601-5113
Phone (218) 444-9147
Other names
- Northern Dental Access Center
Other providers in Halstad, MN
- Halstad Living Center
- Joyce Claire Hollinshead
- Independent School District #2527
- Joy Hollinshead DDS PC
- Sanford Health Network North
All providers in Halstad, MN · Dental Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2018. 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.