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DOWNTOWN DENTAL CARE PA
NPI 1073674529
Dentist - General Practice in Moose Lake, MN

Active since December 12, 2006
304 ELM AVE, MOOSE LAKE, MN 55767(218) 485-4455(218) 485-0227 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Downtown Dental Care Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOWNTOWN DENTAL CARE PA (NPI 1073674529) is a healthcare organization registered as a general practice in Moose Lake, Minnesota and active in the NPI registry since December 2006. The organization lists Kurt David Stodola, Doctor Vice President, as its authorized official.

NPPES Registry Identity

NPI1073674529
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDOWNTOWN DENTAL CARE PA
Location Address304 ELM AVEMoose Lake, MN 55767
Mailing AddressPo Box 587, 304 Elm AveMoose Lake, MN 55767 · (218) 485-4455 · Fax (218) 485-0227
Phone(218) 485-4455
Fax(218) 485-0227
Organization SubpartNo
Authorized OfficialKurt David StodolaDoctor Vice President · (218) 485-4455
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073674529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
304 ELM AVE, Moose Lake, MN 55767
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Downtown Dental Care PA's NPI number?

The NPI number for Downtown Dental Care PA is 1073674529. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Downtown Dental Care PA located?

Downtown Dental Care PA is located at 304 Elm Ave, Moose Lake, MN 55767. The listed phone number is (218) 485-4455.

What is Downtown Dental Care PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Downtown Dental Care PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.