Northern Lights Family Dentistry,PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D11132 Issued in MN

Legal business name

NORTHERN LIGHTS FAMILY DENTISTRY,PC

Practice address

603 Emily Ave. NW
Warroad, MN 56763

Phone

(218) 386-2889

NPI assigned

Apr 9, 2008

Last updated

Apr 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Faye Drost-Sandy, DDS

Title

Dentist/President of Corporation

Phone

(218) 386-2889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1841463072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 EMILY AVE. NW",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "56763",
            "telephone_number": "218-386-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 EMILY AVE. NW",
            "city": "WARROAD",
            "state": "MN",
            "postal_code": "56763",
            "telephone_number": "218-386-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS FAMILY DENTISTRY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "DROST-SANDY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "218-386-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget A Larson-Lindner, LICSW
• Lifecare Medical Center (Lifecare Clinic Warroad)
• Pamela J. Lorenz, P.A.-C
• Michaela Kay Lund, FNP
• Jodie Lynn Meek, PTA
• Rachel Michele Pearce, DNP FNP-C
• Red Lake Band of Chippewa Indians (Red Lake Emergency Response Program (W))
• Roseau Warroad Eye Clinic PA (Warroad eye Clinic)
• Roseau/Warroad Eye Clinic, P.a.
• Mark Benjamin Thiele, D.D.S.

• Dental Clinic/Center in Warroad, MN
• Providers in Warroad, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.