LEWISTON DENTAL CARE


Address: 560 Debra Dr, Lewiston, MN 55952
Phone: 5075231071

LEWISTON DENTAL CARE (NPI# 1801443049) 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) 1801443049
Entity Type Organization
Organization Name LEWISTON DENTAL CARE
Practice Address 560 Debra Dr
Lewiston
MN 55952
Mailing Address 560 Debra Dr
Po Box 697
Lewiston
MN 55952
Practice Telephone 5075231071
Practice Fax Number 5075231078
Mailing Telephone 5075231071
Mailing Fax Number 5075231078
Enumeration Date 2019-08-22
Last Update Date 2019-08-22
Authorized Official Name DR. BRADLEY JOHN BULLARD (DENTIST/OWNER)
Authorized Official Telephone 5075231071
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 560 DEBRA DR
City LEWISTON
State MN
Zip Code 55952

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629169909 Michael Thomas Flynn Dentist 560 Debra Dr, Lewiston, MN 55952-2104 2006-09-28
1073796744 Modern Dental Professionals, Mn PC Dentist 560 Debra Dr, Lewiston, MN 55952-2104 2007-12-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386918746 Carrie Lee Elliott-plank Registered Nurse 21839 Almon Dr., Lewiston, MN 55952 2012-03-02
1154411205 City of Lewiston Ambulance 75 Rice Street, Lewiston, MN 55952 2006-10-12
1437292125 Winona County Ind School Dist 857 Local Education Agency (LEA) 105 S Fremont, Lewiston, MN 55952-0741 2007-02-14
1336449172 Mickel Frisch Contractor 395 Williams St, Lewiston, MN 55952-1109 2010-10-27
1265436653 Deloughery Home Limited Partnership Skilled Nursing Facility 505 E Main St, Lewiston, MN 55952-1204 2005-06-13

Providers in the same city

NPI Name Taxonomy Address Enumeration
1780285247 Genuine Home Care LLC In Home Supportive Care 190 Bates St Ste 2-3, Lewiston, ME 04240-7329 2020-11-02
1609476852 Allied Community Services LLC Community/Behavioral Health 476 Sabattus St, Lewiston, ME 04240-4111 2020-10-27
1124627765 Peace Care Services LLC Community/Behavioral Health 145 Lisbon St Ste 508, Lewiston, ME 04240-7241 2020-10-24
1285231753 Left Bank Recovery Services Clinic/Center 37 Park St Ste 303, Lewiston, ME 04240-7195 2020-10-07
1316544919 Micro Direct, Inc. Durable Medical Equipment & Medical Supplies 803 Webster St, Lewiston, ME 04240-1600 2020-10-06
1013514926 Strive Home Care LLC Home Health 145 Lisbon St Ste 402, Lewiston, ME 04240-7235 2020-10-04
1962009993 April Jodie Bolduc Physical Therapist 61 Allen Ave, Lewiston, ME 04240-4826 2020-10-02
1629685235 Mark Mitchell Roubidoux II Nurse Practitioner 201 18th Ave, Lewiston, ID 83501-2768 2020-09-28
1164039988 Seth Thomas Six Nurse Practitioner 803 Mill Rd, Lewiston, ID 83501-0745 2020-09-25
1538774013 Taylor Eells Occupational Therapist 984 Sabattus St Unit 4, Lewiston, ME 04240-3363 2020-09-11
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104483122 Meghan Cyrena Bristlin Dentist 3326 4th St Ste 3, Lewiston, ID 83501-4455 2019-05-24
1104320720 Jronald Michael Ayzin Dentist 2360 Thain Grade, Lewiston, ID 83501-4115 2018-03-19
1225222920 James P. Herbert, D.m.d., P.a. Dentist 22 Strawberry Ave, Lewiston, ME 04240-5961 2007-09-05
1225257041 Gregory John Bengtson Dentist 602 11th Ave, Lewiston, ID 83501-2837 2007-04-24
1578693495 David C Dortch Dentist 3318 4th St, Lewiston, ID 83501-4405 2007-03-07
1164562708 Daniel Joseph Bizier Dentist 210 Sabattus St, Lewiston, ME 04240-6347 2007-02-06
1174670848 William Joseph Perez Dentist 1606 17th St, Lewiston, ID 83501-4031 2007-01-04
1861550998 Pedro E Ruiz Dentist 2360 Thain Grd, Aspen Dental, Lewiston, ID 83501 2006-12-04
1922173582 Mark Wilson Sheppard Dentist 77 Southway Ave Ste A, Lewiston, ID 83501-2203 2006-11-21
1629169909 Michael Thomas Flynn Dentist 560 Debra Dr, Lewiston, MN 55952-2104 2006-09-28
Find all providers in LEWISTON

Competitor

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City LEWISTON
Zip Code 55952

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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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