Deer River Dental Clinic
NPI #1417464157 in Deer River, Minnesota
Provider Information
- NPI Number
- 1417464157
- Entity Type
- Organization
- Organization Name
- Deer River Dental Clinic
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Jan 3, 2018
- Last Updated
- Jan 3, 2018
Practice Location
- Address
- 111 MAIN STREET E
- City
- Deer River
- State
- Minnesota
- ZIP Code
- 56636
- Phone
- (218) 246-8200
Authorized Official
- Name
- JEFFREY LEE CCARTER, DDS
- Title
- DENTIST/OWNER
- Phone
- (218) 246-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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