DR. PATRICK C ALCORN (NPI# 1710922786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710922786 |
| Entity Type | Individual |
| Full Name | DR. PATRICK C ALCORN |
| Credential | D.D.S. |
| Practice Address |
105 International Drive Suite #6 Red Lake Falls MN 56750-0236 |
| Mailing Address |
Po Box 236 Red Lake Falls MN 56750-0236 |
| Practice Telephone | 2182534204 |
| Practice Fax Number | 2182534205 |
| Mailing Telephone | 2182534204 |
| Mailing Fax Number | 2182534205 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8944 | MN | Dental Providers |
| Street Address |
105 INTERNATIONAL DRIVE SUITE #6 |
| City | RED LAKE FALLS |
| State | MN |
| Zip Code | 56750-0236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073788311 | Hillcrest Senior Living | Skilled Nursing Facility | 311 Broadway Ave Ne, Red Lake Falls, MN 56750 | 2008-04-28 |
| 1295180313 | Lesmeister Dental LLC | Dentist | 105 International Drive, Suite 110, Red Lake Falls, MN 56750-0236 | 2016-04-26 |
| 1578643318 | Ind School District 630 | Local Education Agency (LEA) | 404 Champagne Ave Sw, Red Lake Falls, MN 56750-0399 | 2006-10-16 |
| 1770704587 | Red Lake Falls Volunteer Ambulance Association | Ambulance | 201 Champagne Ave Sw, Red Lake Falls, MN 56750-4003 | 2007-05-01 |
| 1205064300 | Red Lake County Social Services | Case Management | 125 Edwards Ave Sw, Red Lake Falls, MN 56750-4019 | 2009-06-26 |
| 1093009532 | Jo Lambert | Social Worker | 125 Edwards Ave Sw, Red Lake Falls, MN 56750-4019 | 2011-06-01 |
| 1962515940 | Riverview Healthcare Association | Skilled Nursing Facility | 311 Broadway Ave Ne, Red Lake Falls, MN 56750-4224 | 2006-08-16 |
| 1871682344 | Altru Health System | Clinic/Center | 312 International Dr, Red Lake Falls, MN 56750-4603 | 2006-10-12 |
| 1053401984 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 105 International Dr, Suite 102, Red Lake Falls, MN 56750-4665 | 2006-10-13 |
| 1992187868 | Tia Michelle Gullickson | Nurse Practitioner | 105 International Dr, Ste. 126, Red Lake Falls, MN 56750-4665 | 2015-06-26 |
| Find all providers in zip 56750 | ||||
| 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 |
|---|---|---|---|---|
| 1295180313 | Lesmeister Dental LLC | Dentist | 105 International Drive, Suite 110, Red Lake Falls, MN 56750-0236 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001149 | Kalyan Chakravarthy Kondreddi | Dentist | 327 Western Ave Ste A, Fergus Falls, MN 56537-2403 | 2020-10-20 |
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1770190951 | Bluff Creek Dental Pllc | Dentist | 600 Market St Ste 130, Chanhassen, MN 55317-4570 | 2020-09-30 |
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1679182687 | Downtown Dental Center Pllc | Dentist | 825 Nicollet Mall Ste 1427, Minneapolis, MN 55402-2703 | 2020-07-26 |
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | RED LAKE FALLS |
| Zip Code | 56750 |
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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.