Robert Marvin Erickson, D.D.S
Individual provider Active NPI General Practice Dentistry · Babbitt, MN
NPI 1861596439 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861596439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D10779 (MN)
- Practice address
- 71 South Dr
Box 26
Babbitt, MN 55706-1232 - Phone
- (218) 827-2754
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10779 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert M. Erickson D.D.S, LTD. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10779 | MN | Yes |
Addresses
Primary practice location
71 South Dr
Box 26
Babbitt, MN 55706-1232
Mailing address
3061 E Arm Rd
Ely, MN 55731-8451
Phone (218) 365-4907
Other providers in Babbitt, MN
- Babbitt Carefree Living
- Babbitt Drug Inc
- City of Babbitt
- Essentia Health Virginia, LLC
- Essentia Health Virginia, LLC
- Brenda Evancevich
- Ol-US Babbitt, LLC
- Robert M. Erickson D.D.S, LTD.
All providers in Babbitt, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.