East Grand Forks Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10253 Issued in MN

Legal business name

EAST GRAND FORKS DENTAL CARE

Practice address

22 4TH St. NE
East Grand Forks, MN 56721

Phone

(218) 773-0842

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By 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. David M Thorfinnson, D.D.S.NPI 1346276219

Title

President

Phone

(218) 773-0842

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• David Michael Thorfinnson, DDS

  • General Practice Dentistry
  • East Grand Forks, MN
  • NPI 1346276219
  Medicare reassignment NPD Authorized official
• Makayla M Langei, DDS

  • General Practice Dentistry
  • East Grand Forks, MN
  • NPI 1669365128
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891912812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 4TH ST. NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "56721",
            "telephone_number": "218-773-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 4TH ST. NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "56721",
            "telephone_number": "218-773-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GRAND FORKS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORFINNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-773-0842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL SERVICE CORP",
            "identifier": "989049",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demers Dental
• Dental GT
• Douglas Place Treatment Center LLC (Eosis Northern Plains)
• Abirisak Duale
• Kathleen Rand Dunn, RN
• Lindsey Marie Ebertowski, PT
• Edgewood Vista
• Terra Nicole Edwards, APRN, PMHNP-BC
• Chelsea Erickson, D.D.S.
• Sarah Erickson, DPT

• General Practice Dentistry in East Grand Forks, MN
• Providers in East Grand Forks, MN by specialty
• General Practice Dentistry in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.