NPI 1285022145

Dental Depot, LLC

Organisation Dentist Morris, MN

Practice location

Address: 2 E 5th St, Morris, MN 56267-1344
Phone: (320) 589-4481

Authorised official

Name: Kevin P Williamson
Title: Dentist
Phone: (320) 589-4481

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D13075 (MN)

Other Dentist providers in Minnesota →

Registry record

NPI: 1285022145
Entity type: Organization
NPI issued: 30 Dec 2014
Record last updated: 30 Dec 2014

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.