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DEER RIVER DENTAL CLINIC
NPI 1417464157
Dentist - Endodontics in Deer River, MN

Active since January 03, 2018
111 MAIN STREET E, DEER RIVER, MN 56636(218) 246-8200 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deer River Dental Clinic NPPES

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

DEER RIVER DENTAL CLINIC (NPI 1417464157) is a healthcare organization registered as an endodontics in Deer River, Minnesota and active in the NPI registry since January 2018. The organization lists Jeffrey Lee Ccarter, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1417464157
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameDEER RIVER DENTAL CLINIC
Location Address111 MAIN STREET EDeer River, MN 56636
Mailing AddressPo Box 40Deer River, MN 56636-0040 · (218) 246-8200 · Fax (218) 246-8982
Phone(218) 246-8200
Organization SubpartNo
Authorized OfficialJeffrey Lee CcarterDentist/owner · (218) 246-8200
Enumeration DateJanuary 3, 2018
✔ NPI 1417464157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MN · D9499
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
111 MAIN STREET E, Deer River, MN 56636
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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

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 Deer River Dental Clinic's NPI number?

The NPI number for Deer River Dental Clinic is 1417464157. It was assigned to this organization in the NPPES registry on January 3, 2018.

Where is Deer River Dental Clinic located?

Deer River Dental Clinic is located at 111 Main Street E, Deer River, MN 56636. The listed phone number is (218) 246-8200.

What is Deer River Dental Clinic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Deer River Dental Clinic was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.