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Great Lakes Pediatric Dentistry Pllc
Pediatric Dentist in Fergus Falls, Minnesota
NPI 1144726506

Great Lakes Pediatric Dentistry Pllc is a Pediatric Dentist based in Royalton, MN and is specialized in Pediatric Dentistry. Great Lakes Pediatric Dentistry Pllc practices in Fergus Falls, MN. The NPI Number for Great Lakes Pediatric Dentistry Pllc is 1144726506 and holds a License No. D13237 (Minnesota).

The current practice location address for Great Lakes Pediatric Dentistry Pllc is 219 E Lincoln Ave, Fergus Falls, MN and can be reached out via phone at 320-766-0085.

Location: 219 E Lincoln Ave, Fergus Falls, MN, 56373-8148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144726506
Provider Name
Great Lakes Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
219 E Lincoln Ave, Fergus Falls, MN, 56373-8148
Phone Number
320-766-0085
Fax Number
Provider Enumeration Date
04/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
219 E Lincoln Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2236
Phone Number
320-766-0085
Fax Number
person
Provider Business Mailing Address Details
Address
219 E Lincoln Ave
City
Fergus Falls
State
Minnesota
Zip
56537-2236
Phone Number
320-766-0085
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D13237 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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