DR. TRACEY ROSEANN CHARLES


Address: 9345 Calypso Trail Nw, Bemidji, MN 56601
Phone: 2186793912

DR. TRACEY ROSEANN CHARLES (NPI# 1437238052) 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) 1437238052
Entity Type Individual
Full Name DR. TRACEY ROSEANN CHARLES
Credential D.D.S.
Practice Address 9345 Calypso Trail Nw
Bemidji
MN 56601
Practice Telephone 2186793912
Practice Fax Number 2186790181
Mailing Telephone 2186793912
Mailing Fax Number 2186790181
Enumeration Date 2006-11-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
8119 TN Dental Providers

Office Location

Street Address 9345 CALYPSO TRAIL NW
City BEMIDJI
State MN
Zip Code 56601

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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
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437287679 Mississippi Headwaters Area Dental Health Center, Inc. Dentist 616 America Ave Nw Ste 340, Attention Mary Marchell, Bemidji, MN 56601-3871 2007-03-01
1386722585 William Lynn Canada Dentist 619 Kay Ave Se, Bemidji, MN 56601-3638 2006-11-02
1740726561 Kirsten May Dentist 1405 Anne St Nw, Bemidji, MN 56601-5113 2017-01-18
1760928584 Erica Evans Dentist 1405 Anne St Nw, Bemidji, MN 56601-5113 2017-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568076073 Rae Ann Ann Swanson Dentist 755 Florida Ave S, Minneapolis, MN 55426-1784 2020-09-02
1083178149 Lift Dental Pllc Dentist 124 2nd St S Ste 101, Stillwater, MN 55082-5179 2019-01-23
1669842662 Children's Dental Services Dentist 229 W Lake St, Chisholm, MN 55719 2015-10-02
1407224827 Children's Dental Services Dentist 325 N Sibley Ave, Litchfield, MN 55355-2150 2015-09-02
1194095778 Matthew Allen Olson Dentist 715 11th St N Ste 106b, Moorhead, MN 56560-2000 2012-01-12
1801118039 Omar Dyab Dds Pa Dentist 13590 Northdale Blvd, Suite 300, Rogers, MN 55374-2150 2010-02-15
1407973605 Childrens Dental Services Inc Dentist 636 Broadway St. Ne, Minneapolis, MN 55413 2007-03-23
1205991866 Fergus Falls Dental Group Dentist 1121 Pebble Lake Rd, Fergus Falls, MN 56537 2006-12-26
1790795821 Great Lakes Childrens Dental Care Pa Dentist 2710 Piedmont Avenue, Duluth, MN 55811 2006-08-09
1558342469 Fergus Falls Dental Group Dentist 1121 Pebble Lake Road, Box 503, Fergus Falls, MN 56537 2005-11-08
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Competitor

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City BEMIDJI
Zip Code 56601

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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