M DENTAL PLLC (NPI# 1609425032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609425032 |
Entity Type | Organization |
Organization Name | M DENTAL PLLC |
Practice Address |
4707 E Superior St Duluth MN 55804-2339 |
Mailing Address |
3531 E Superior St Duluth MN 55804-2043 |
Practice Telephone | 2073320028 |
Mailing Telephone | 2073320028 |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-09 |
Authorized Official Name | TREVOR J MCCOLLOUGH (DENTIST) |
Authorized Official Telephone | 2073320028 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
North Shore Dental Ltd | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
123 Waterfront Dr, Two Harbors, MN 556161525 | 2073320028 |
Street Address |
4707 E SUPERIOR ST |
City | DULUTH |
State | MN |
Zip Code | 55804-2339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346389277 | North Shore Dental,ltd. | Dentist | 4707 E Superior St, Duluth, MN 55804-2339 | 2007-02-06 |
1598285454 | Trevor Mccollough | Dentist | 4707 E Superior St, Duluth, MN 55804-2339 | 2017-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235593591 | Michelle Leblanc | Speech-Language Pathologist | 5017 London Rd., Duluth, MN 55804 | 2016-04-12 |
1346541075 | Christina Finlo | Marriage & Family Therapist | 4849 Ivanhoe St, Duluth, MN 55804 | 2010-11-11 |
1821301623 | Rachel Gabrielle Ashford | Social Worker | 5107 E Superior St, Duluth, MN 55804 | 2010-07-21 |
1932381423 | Janet Florence Lewis | Registered Nurse | 4231 Dodge Street, Duluth, MN 55804 | 2007-11-27 |
1245419894 | Ernest Carl Hansen | Physical Therapist | 4002 London Rd., Duluth, MN 55804 | 2007-10-31 |
1316011596 | Melissa J. Janzen | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2006-11-20 |
1861406522 | Susan Klee Anderson | Family Medicine | 4621 E Superior St., Duluth, MN 55804 | 2006-07-28 |
1104886977 | Sarah Adeen Ziring | Physical Therapist | 4621 E Superior St, Duluth, MN 55804 | 2006-03-24 |
1285831040 | Janzen Chiropractic Pa | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2007-06-27 |
1912121708 | Cooley Chiropractic Clinic, Inc. | Chiropractor | 5722 Homestead Rd, Duluth, MN 55804 | 2007-04-12 |
Find all providers in zip 55804 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518403831 | Pdg, Pa | Clinic/Center | 324 W Superior St Ste 1130, Duluth, MN 55802-1714 | 2017-01-10 |
1417210576 | Gregory H. Kaake, D.d.s. P.a. | Clinic/Center | 1832 Maple Grove Rd, Duluth, MN 55811-1811 | 2012-06-22 |
1780839803 | Mark L Shefrin Dmd PC | Clinic/Center | 3540 Duluth Park Ln Ste 270, 270, Duluth, GA 30096-8511 | 2008-11-18 |
1437320512 | Natalie Peterson Dds Family Dentistry LLC | Clinic/Center | 110 W 10th St, Duluth, MN 55806-2536 | 2008-03-17 |
1831387661 | Crawford Orthodontic Care | Clinic/Center | 3950 Pleasant Hill Rd, Suite 6, Duluth, GA 30096 | 2007-10-05 |
1740400985 | Lake Superior College Dental Clinic | Clinic/Center | 2101 Trinity Road, Duluth, MN 55811-3349 | 2007-04-30 |
1144780420 | Pdg, Pa | Clinic/Center | 906 Woodland Ave, Duluth, MN 55812-1113 | 2019-03-22 |
1285110379 | Matthew D Jugovich Dds Pa | Clinic/Center | 5651 Miller Trunk Hwy, Duluth, MN 55811-1229 | 2018-07-12 |
1619424827 | Duluth Dental and Dentures LLC | Clinic/Center | 1625 Pleasant Hill Rd, Suite #140, Duluth, GA 30096-2326 | 2016-09-06 |
1972952265 | Kyle Hammer Dds Pllc | Clinic/Center | 1432 London Rd, Duluth, MN 55805-2425 | 2016-06-07 |
Find all providers in DULUTH |
Please comment or provide details below to improve the information on M DENTAL PLLC.
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.