NORTHLAND SMILES CORPORATION PA


Address: 21343 Archibald Road, Deerwood, MN 56444
Phone: 2185343141

NORTHLAND SMILES CORPORATION PA (NPI# 1043567357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043567357
Entity Type Organization
Organization Name NORTHLAND SMILES CORPORATION PA
Practice Address 21343 Archibald Road
Deerwood
MN 56444
Mailing Address Po Box 385
Deerwood
MN 56444-0385
Practice Telephone 2185343141
Mailing Telephone 2185343141
Enumeration Date 2012-08-07
Last Update Date 2012-08-07
Authorized Official Name DR. KENDALL LEWIS DAMMEIER (OWNER)
Authorized Official Telephone 2185343141
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 21343 ARCHIBALD ROAD
City DEERWOOD
State MN
Zip Code 56444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578667937 James Daniel Strampe Dentist 21343 Archibald Road, Deerwood, MN 56444 2006-09-07
1801222542 Martine Gneme Zoumanigui Dental Therapist 21343 Archibald Road, Deerwood, MN 56444 2013-09-25
1023397429 Youssef Samir Abou Atme Dentist 21343 Archibald Road, The Smile Center, Deerwood, MN 56444 2011-08-16
1861796013 Molly Rebecca Gervich Dentist 21343 Archibald Road, Deerwood, MN 56444 2011-01-03
1639482474 Jaime Beth Waller Dentist 21343 Archibald Road, Deerwood, MN 56444 2010-07-21
1679700942 Kendall Lewis Dammeier Dentist 21343 Archibald Road, Deerwood, MN 56444 2009-06-15
1992991004 Amith Kula Shetty Dentist 21343 Archibald Road, Deerwood, MN 56444 2007-09-21
1730262585 Deerwood Dental, Inc Clinic/Center 21343 Archibald Road, Deerwood, MN 56444-0385 2006-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063972271 Northland Smiles Little Falls, Pa Clinic/Center 306 13th St Ne, Little Falls, MN 56444 2019-03-22
1114253804 Stephanie Louise Vandal Doula 22377 Linden Street, Deerwood, MN 56444 2009-10-30
1841349164 Minnesota Mobility Systems Inc. Durable Medical Equipment & Medical Supplies 21279 Archibald Road, Deerwood, MN 56444 2007-01-09
1043329642 Bradford J Pugh Dentist 21343 Archibald Rd, Deerwood, MN 56444 2006-08-29
1851400097 Padmanjali Batthula Dentist 21343 Archibald Rd, Deerwood, MN 56444 2006-08-30
1558470153 Edward L Silker Dentist 21343 Archibald Rd, Deerwood, MN 56444 2006-08-29
1528511706 Anna Carr Dentist 21343 Archibald Rd, Deerwood, MN 56444-2200 2016-07-25
1700084076 Dominador B Soriano Family Medicine 22535 Beach Rd, Deerwood, MN 56444-6191 2007-07-06
1043638877 Emily Branum Occupational Therapist 22117 Ministers Point Rd, Deerwood, MN 56444-6195 2014-03-29
1942440441 Central Minnesota Home Care, Inc. In Home Supportive Care 22413 State Highway 6, 200, Deerwood, MN 56444-6245 2009-02-24
Find all providers in zip 56444

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730262585 Deerwood Dental, Inc Clinic/Center 21343 Archibald Road, Deerwood, MN 56444-0385 2006-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871191403 Cham Clinic LLC Clinic/Center 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 2020-10-15
1003434622 Lost Lake Optical Company Clinic/Center 5240 Shady Island Cir, Mound, MN 55364-9222 2020-07-09
1811513310 Prescribed By LLC Clinic/Center 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 2020-06-19
1992320014 Jtp Professional Service Corporation Clinic/Center 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 2020-06-15
1689299125 Altru Health System Clinic/Center 1st & Roosevelt, Karlstad, MN 56732 2020-06-10
1831710409 Webmed LLC Clinic/Center 925 E Superior St Ste 113, Duluth, MN 55802-2253 2020-05-05
1073149779 Functional Chiropractic Rehab, Pllc Clinic/Center 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 2020-03-14
1225676067 Liana Healthcare P.ll.c Clinic/Center 8348 Beard Rd, Bloomington, MN 55431-1028 2019-12-11
1245875293 Fairview Clinics Clinic/Center 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 2019-11-14
1275175242 Hye-kyong Kim Therapy LLC Clinic/Center 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 2019-10-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City DEERWOOD
Zip Code 56444

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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