PINE RIVER DENTAL CENTER LLC
NPI 1265845937
Dentist - General Practice in Pine River, MN

Active since June 10, 2014
203 PARK AVE W, PINE RIVER, MN 56474(218) 587-4438 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine River Dental Center Llc NPPES

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

PINE RIVER DENTAL CENTER LLC (NPI 1265845937) is a healthcare organization registered as a general practice in Pine River, Minnesota and active in the NPI registry since June 2014. The organization lists Jaime Preble, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1265845937
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePINE RIVER DENTAL CENTER LLC
Location Address203 PARK AVE WPine River, MN 56474-4495
Mailing AddressPo Box 650Pine River, MN 56474-0650
Organization SubpartNo
Authorized OfficialJaime PrebleGeneral Dentist · (218) 587-4438
Enumeration DateJune 10, 2014
NPI 1265845937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D13393
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.
203 PARK AVE W, Pine River, MN 56474

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Clinic/Center (Dental)
203 PARK AVE W
PINE RIVER, MN 56474
Dentist (General Practice)
203 PARK AVE W
PINE RIVER, MN 56474

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 Pine River Dental Center LLC's NPI number?

The NPI number for Pine River Dental Center LLC is 1265845937. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Pine River Dental Center LLC located?

Pine River Dental Center LLC is located at 203 Park Ave W, Pine River, MN 56474. The listed phone number is (218) 587-4438.

What is Pine River Dental Center LLC'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 Pine River Dental Center LLC was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.