Grand Dental Center

LBN: Grand Dental Center
Grand Dental Center is an health care organization with primary practice located at 1604 Golf Course Rd , Grand Rapids MN 55744-8648. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Grand Dental Center can be contacted via phone (218) 326-0339, or through Johnson, Lisa M via phone (218) 326-0339.

Contact Information

Primary practice address
1604 Golf Course Rd Grand Rapids MN 55744-8648
Fax: (218) 999-5443
Website:
Authorized official contact:
Name: Johnson, Lisa M Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11285 Minnesota

Profile Details

NPI number 1457644049
LBN Legal business name Grand Dental Center
DBA Doing business as
Authorized official Johnson, Lisa M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2011
Last updated May 16th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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