1. Home
  2. Directory
  3. Minnesota
  4. Grand Rapids
  5. Dentist
  6. NPI Profile

MISKOVICH DENTAL CLINIC
NPI 1255407060
Dentist - General Practice in Grand Rapids, MN

Active since November 27, 2006
1121 SE 4TH AVENUE, GRAND RAPIDS, MN 55744(218) 326-3437(218) 327-1211 Get Directions Write a Review

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

About Miskovich Dental Clinic NPPES

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

MISKOVICH DENTAL CLINIC (NPI 1255407060) is a healthcare organization registered as a general practice in Grand Rapids, Minnesota and active in the NPI registry since November 2006. The organization lists Peter J Miskovich, President, as its authorized official.

NPPES Registry Identity

NPI1255407060
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMISKOVICH DENTAL CLINIC
Location Address1121 SE 4TH AVENUEGrand Rapids, MN 55744
Mailing Address1121 Se 4th AvenueGrand Rapids, MN 55744 · (218) 326-3437 · Fax (218) 327-1211
Phone(218) 326-3437
Fax(218) 327-1211
Organization SubpartNo
Authorized OfficialPeter J MiskovichPresident · (218) 326-3437
Enumeration DateNovember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255407060 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.
1121 SE 4TH AVENUE, Grand Rapids, MN 55744
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

MR. MIKE N MISKOVICH DDS
Dentist (General Practice)
1121 SE 4TH AVENUE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3437
MR. PETER J MISKOVICH DDS
Dentist (General Practice)
1121 SE 4TH AVENUE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3437

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 Miskovich Dental Clinic's NPI number?

The NPI number for Miskovich Dental Clinic is 1255407060. It was assigned to this organization in the NPPES registry on November 27, 2006.

Where is Miskovich Dental Clinic located?

Miskovich Dental Clinic is located at 1121 SE 4th Avenue, Grand Rapids, MN 55744. The listed phone number is (218) 326-3437.

What is Miskovich Dental Clinic'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 Miskovich Dental Clinic 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.