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GREAT NORTHERN DENTAL CARE
NPI 1356715841
Clinic/Center in Grand Forks, ND

Active since November 20, 2015
667 DEMERS AVE STE 1002, GRAND FORKS, ND 58201(701) 772-8488 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Northern Dental Care NPPES

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

GREAT NORTHERN DENTAL CARE (NPI 1356715841) is a healthcare organization registered as a clinic/center in Grand Forks, North Dakota and active in the NPI registry since November 2015. The organization lists John Clayburgh, Doctor, as its authorized official.

NPPES Registry Identity

NPI1356715841
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGREAT NORTHERN DENTAL CARE
Location Address667 DEMERS AVE STE 1002Grand Forks, ND 58201-4500
Mailing Address667 Demers Ave, Ste 1002Grand Forks, ND 58201 · (701) 772-8488
Phone(701) 772-8488
Organization SubpartNo
Authorized OfficialJohn ClayburghDoctor · (701) 772-8488
Enumeration DateNovember 20, 2015
✔ NPI 1356715841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in ND · 1688
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
667 DEMERS AVE STE 1002, Grand Forks, ND 58201
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Other Identifiers 1

Medicaid1456616SD

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 Great Northern Dental Care's NPI number?

The NPI number for Great Northern Dental Care is 1356715841. It was assigned to this organization in the NPPES registry on November 20, 2015.

Where is Great Northern Dental Care located?

Great Northern Dental Care is located at 667 Demers Ave Ste 1002, Grand Forks, ND 58201. The listed phone number is (701) 772-8488.

What is Great Northern Dental Care's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Great Northern Dental Care was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.