MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
NPI 1225811102
Clinic/Center - Dental in Bagley, MN

Q: What is Mississippi Headwaters Area Dental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since August 15, 2023

13 MAIN AVE N, BAGLEY, MN 56621(218) 694-6571 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mississippi Headwaters Area Dental Health Center, Inc. NPPES

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

MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC. (NPI 1225811102), doing business as Northern Dental Access Center, is a healthcare organization registered as a dental in Bagley, Minnesota and active in the NPI registry since August 2023. The organization lists Erica Anne Lundberg, Director Of Finance And Operations, as its authorized official.

NPPES Registry Identity

NPI1225811102

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.

Location Address13 MAIN AVE NBagley, MN 56621-8315

Mailing Address1405 Anne St NwBemidji, MN 56601-5113 · (218) 444-9147 · Fax (218) 444-9252

Phone(218) 694-6571

Organization SubpartYesParent: Mississippi Headwaters Area Dental Health Center

Authorized OfficialErica Anne LundbergDirector Of Finance And Operations · (218) 444-9147

Enumeration DateAugust 15, 2023

NPPES CertifiedAugust 15, 2023

✔ NPI 1225811102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

13 MAIN AVE N, Bagley, MN 56621

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Other Names 1

Doing Business AsNorthern Dental Access Center

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAGLEY DENTAL

Dentist

13 MAIN AVE N
BAGLEY, MN 56621

Clearwater County (218) 964-6571

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 Mississippi Headwaters Area Dental Health Center, Inc.'s NPI number?

The NPI number for Mississippi Headwaters Area Dental Health Center, Inc. is 1225811102. It was assigned to this organization in the NPPES registry on August 15, 2023. The provider is doing business as Northern Dental Access Center.

Where is Mississippi Headwaters Area Dental Health Center, Inc. located?

Mississippi Headwaters Area Dental Health Center, Inc. is located at 13 Main Ave N, Bagley, MN 56621. The listed phone number is (218) 694-6571.

What is Mississippi Headwaters Area Dental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mississippi Headwaters Area Dental Health Center, Inc. was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.