PINE RIVER DENTAL CENTER LLC – NPI #1891954830
Clinic/Center

PINE RIVER DENTAL CENTER LLC is an AHC clinic located in PINE RIVER, MN. NPPES has assigned the NPI number 1891954830 to PINE RIVER DENTAL CENTER LLC on June 05, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 18 years ago on Oct 29, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PINE RIVER DENTAL CENTER LLC below.

NPI Profile for
PINE RIVER DENTAL CENTER LLC

NPI Number
1891954830
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINE RIVER DENTAL CENTER LLC
Primary location
203 PARK AVE W
PINE RIVER, MN 56474-4495
Phone: (218) 587-4437 Fax:
Mailing address
PO BOX 650
PINE RIVER, MN 56474-0650
Phone: (218) 587-4437 Fax: (218) 587-4479
Organization Subpart
No
Authorized Official
JOHN COLLIER
OWNER
Phone: (218) 587-4437
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MN 7903

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.