Headwaters Dental

LBN: Headwaters Dental
Headwaters Dental is an health care organization with primary practice located at 2229 23Rd St Nw , Bemidji MN 56601-5503. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Headwaters Dental can be contacted via phone (218) 333-6515, or through Winslow Feil, Patricia via phone (218) 333-6515.

Contact Information

Primary practice address
2229 23Rd St Nw Bemidji MN 56601-5503
Phone: (218) 333-6515
Fax: (218) 333-6519
Website:
Map and Directions
Authorized official contact:
Name: Winslow Feil, Patricia
Phone: (218) 333-6515

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Minnesota

Profile Details

NPI number 1558374561
LBN Legal business name Headwaters Dental
DBA Doing business as
Authorized official Winslow Feil, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 28th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558374561 NPPES
Minnesota MEDICAID 96501800

Popular Providers