NPI 1144726506

Great Lakes Pediatric Dentistry PLLC

Organisation Pediatric Dentistry Fergus Falls, MN

Practice location

Address: 219 E Lincoln Ave, Fergus Falls, MN 56537-2236
Phone: (320) 766-0085
Mailing address: 15525 Barley Rd NW, Royalton, MN 56373-8148

Authorised official

Name: Michael Todd Steinmetz
Title: Owner
Phone: (320) 766-0085

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence D13237 (MN)

Other Dentist providers in Minnesota →

Registry record

NPI: 1144726506
Entity type: Organization
NPI issued: 4 Apr 2018
Record last updated: 4 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.