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Blackduck Dental Clinic
General Practice Dentistry in Blackduck, Minnesota
NPI 1003991944

Blackduck Dental Clinic is a General Practice Dentistry based in Blackduck, MN and is specialized in General Practice. Blackduck Dental Clinic practices in Blackduck, MN. The NPI Number for Blackduck Dental Clinic is 1003991944 and holds a License No. 7789 (Minnesota).

The current practice location address for Blackduck Dental Clinic is 49 Summit Ave. Se, Blackduck, MN and can be reached out via phone at 218-835-4227 and via fax at 218-835-7512.

Location: 49 Summit Ave. Se, Blackduck, MN, 56630-0308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003991944
Provider Name
Blackduck Dental Clinic
Credential
Provider Entity Type
Organization
Address
49 Summit Ave. Se, Blackduck, MN, 56630-0308
Phone Number
218-835-4227
Fax Number
218-835-7512
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81202BE 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
49 Summit Ave. Se
City
Blackduck
State
Minnesota
Zip
56630
Phone Number
218-835-4227
Fax Number
218-835-7512
person
Provider Business Mailing Address Details
Address
49 Summit Ave. Se
City
Blackduck
State
Minnesota
Zip
56630
Phone Number
218-835-4227
Fax Number
218-835-7512
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7789 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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