NPIMap

Organization Active NPI

Dental Depot Inc

  • Dentist
  • Morris, MN
National Provider Identifier
1831254150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8371 Issued in MN
Legal business name
DENTAL DEPOT INC
Practice address
2 E 5TH St
Morris, MN 56267-1344
Phone
(320) 589-4481
Fax
(320) 589-2750
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Andrew Hauger, DDSNPI 1699833541
Title
Dentist
Phone
(320) 589-4481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8371 MN Primary

Addresses

Primary practice location

2 E 5TH St
Morris, MN 56267-1344

Mailing address

PO Box 1086
2 East 5TH St
Morris, MN 56267
Phone (320) 589-4481

National Provider Directory

National Provider Directory

Locations

2 E 5th St
Morris, MN 56267
Phone (320) 589-4481

Practitioners & affiliated clinicians

Practitioners 3

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831254150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "address_2": "2 EAST 5TH ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "56267",
            "telephone_number": "320-589-4481",
            "fax_number": "320-589-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E 5TH ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671344",
            "telephone_number": "320-589-4481",
            "fax_number": "320-589-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAUGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "320-589-4481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.