Clarissa Family Dental
Organization Active NPI Dental Clinic/Center · Clarissa, MN
NPI 1780908962 · NPPES record last updated Mar 17, 2010
Key facts
- NPI
- 1780908962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- CLARISSA FAMILY DENTAL
- Practice address
- 214 Main St W
Clarissa, MN 56440-4500 - Phone
- (218) 756-2234
- Fax
- (218) 756-2427
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
Authorized official
- Name
- Jeralyn B Bowie, D.D.S.
- Title
- Owner
- Phone
- (218) 756-2234
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
214 Main St W
Clarissa, MN 56440-4500
Mailing address
214 Main St W
P. O. Box 416
Clarissa, MN 56440-4500
Phone (218) 756-2234
Other providers in Clarissa, MN
- Jeralyn B Bowie
- Central Todd County Care Center, Inc.
- Clarissa Dental Clinic P.a.
- Dominic Gagnon, D.D.S., P.L.L.C.
- John M Romstad
- Seip Drug LLC
All providers in Clarissa, 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 Mar 17, 2010. 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.