SCOTLAND BAKKE DENTAL P.A. (NPI# 1841539491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841539491 |
| Entity Type | Organization |
| Organization Name | SCOTLAND BAKKE DENTAL P.A. |
| Practice Address |
430 25th St Nw Bemidji MN 56601-2486 |
| Mailing Address |
Po Box 1327 Bemidji MN 56619-1327 |
| Practice Telephone | 2187518325 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Authorized Official Name | JONETTA BAKKE (DENTIST) |
| Authorized Official Telephone | 2187518325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
D8207 | MN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D12524 | MN | Dental Providers |
| Street Address |
430 25TH ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184885386 | Jonetta H Scotland | Dentist | 430 25th St Nw, Bemidji, MN 56601-2486 | 2008-06-19 |
| 1013447069 | Trevor Andrews | Dentist | 430 25th St Nw, Bemidji, MN 56601-2486 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944179 | Andrew T Weaver | Dentist | 1900 Division St W Unit 2, Bemidji, MN 56601-6397 | 2015-06-09 |
| 1508252578 | Dipaul Dental, PC | Dentist | 2219 Paul Bunyan Dr Nw Ste 6-7, Bemidji, MN 56601-6188 | 2015-04-07 |
| 1902069347 | Marshall Muirhead, Dds | Dentist | 102 26th St Nw, Bemidji, MN 56601-2411 | 2008-07-07 |
| 1821260654 | Great River Dentistry of Bemidji, P.a. | Dentist | 3622 Moberg Dr Nw, Bemidji, MN 56601-5644 | 2008-04-01 |
| 1295882389 | Marshall George Muirhead | Dentist | 1405 Anne St Nw, Bemidji, MN 56601-5113 | 2007-01-04 |
| 1164585642 | Douglas Russell Williams | Dentist | 110 4th St Nw, Bemidji, MN 56601-3103 | 2006-12-18 |
| 1962575043 | Richard A Johnson | Dentist | 603 Bemidji Ave N, Bemidji, MN 56601-3015 | 2006-11-16 |
| 1245321389 | Bemidji Dental Clinic | Dentist | 2600 Bemidji Ave N, Bemidji, MN 56601 | 2006-09-27 |
| 1558374561 | Headwaters Dental | Dentist | 2229 23rd St Nw, Bemidji, MN 56601-5503 | 2006-08-14 |
| 1922086636 | John Eric Lueth | Dentist | 1311 Bemidji Ave N, Bemidji, MN 56601-3811 | 2006-01-03 |
| Find all providers in BEMIDJI | ||||
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| 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.