NPI 1558342469

Fergus Falls Dental Group

Organisation Public Health Dentistry Fergus Falls, MN

Practice location

Address: 1121 Pebble Lake Road Box 503, Fergus Falls, MN 56537
Phone: (218) 739-7254
Fax: (218) 739-7253
Mailing address: 1121 Pebble Lake Road PO Box 503, Fergus Falls, MN 56537

Authorised official

Name: Denise Renee Kvern
Title: Manger/Supervisor
Phone: (218) 739-7254

Registered specialties

Public Health Dentistry Primary

Dental Providers Taxonomy 1223D0001X Licence 9845 (MN)

Other Dentist providers in Minnesota →

Registry record

NPI: 1558342469
Entity type: Organization
NPI issued: 8 Nov 2005
Record last updated: 22 Aug 2020

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.